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Organization
LETCHWORTH ELDER CARE LLC
Active
Organization
LETCHWORTH ELDER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY R LETCHWORTH NP (SOLE OWNER)
(901) 413-9426
Entity
Organization
Contact information
Practice address
3030 WALNUT GROVE RD, MEMPHIS, TN 38111-3508
(901) 413-9426
Mailing address
PO BOX 381105, GERMANTOWN, TN 38183-1105
(901) 413-9426
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12181
TN
Other
Enumeration date
01/13/2014
Last updated
10/16/2014
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