| NPI | 1821570144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA ROSS Owner 901-574-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: TN 0100407) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |