# MISSIONARY HOMECARE AGENCY, LLC

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

## Provider details

- **NPI number:** 1144611377
- **Authorized official:** MS. DOREEN LEWIS THOMPSON (OWNER/CEO)
- **Authorized official phone:** (901) 949-2517

## Contact information

- **Practice address:** 4384 STAGE RD, SUITE 212, MEMPHIS, TN 38128-5794
- **Practice address phone:** (901) 249-3931
- **Practice address fax:** (901) 249-8134
- **Mailing address:** 4384 STAGE RD, SUITE 212, MEMPHIS, TN 38128-5794
- **Mailing address phone:** (901) 249-3931
- **Mailing address fax:** (901) 249-8134

## Taxonomy

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

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 06/17/2015