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Organization
ENLIGHTENMENT TRANSITIONAL LIVING LLC
Active
Organization
ENLIGHTENMENT TRANSITIONAL LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERAKA JOHNSON (DIRECTOR)
(901) 857-1193
Entity
Organization
Contact information
Practice address
8295 TOURNAMENT DR STE 150, MEMPHIS, TN 38125-8900
(901) 356-8075
Mailing address
8295 TOURNAMENT DR STE 150, MEMPHIS, TN 38125-8900
(901) 356-8075
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/26/2024
Last updated
11/13/2025
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