# AT HOME HEALTHCARE AGENCY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063961191
- **Authorized official:** CYNTHIA ANTHONY (MEMBER)
- **Authorized official phone:** (901) 305-7064

## Contact information

- **Practice address:** 27 CRESCENT BLUFF CT, 202, MEMPHIS, TN 38106-4540
- **Practice address phone:** (901) 305-7064
- **Mailing address:** 27 CRESCENT BLUFF CT, 202, MEMPHIS, TN 38106-4540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2016
- **Last updated:** 09/30/2016