| NPI | 1922466382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENOBIA POLK Executive Director 901-502-2135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2024-09-12 |