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Organization
WELL CHILD INC.
Active
Organization
WELL CHILD INC.
Active
Parent organization
WELL CHILD INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELL CHILD INC.
Authorized official
MS. MALLORY I WILBON (NURSE PRACTIONER)
(901) 728-5858
Entity
Organization
Contact information
Practice address
2158 UNION AVE STE 100, MEMPHIS, TN 38104-4297
(901) 728-5858
(901) 274-5858
Mailing address
2158 UNION AVE STE 100, MEMPHIS, TN 38104-4297
(901) 728-5858
(901) 274-5858
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
10556
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440184
—
TN
Enumeration date
07/31/2007
Last updated
07/31/2007
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