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Organization
MID-SOUTH HOME HEALTH SERVICES, LLC
Active
Organization
MID-SOUTH HOME HEALTH SERVICES, LLC
Active
Other names
BrightStar Care of Memphis
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN M WILSON (OWNER)
(901) 472-4100
Entity
Organization
Contact information
Practice address
5384 POPLAR AVE STE 340, MEMPHIS, TN 38119-3656
(901) 472-4100
(866) 436-9785
Mailing address
5384 POPLAR AVE STE 340, MEMPHIS, TN 38119-3656
(901) 472-4100
(866) 436-9785
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I000000019423
PERSONAL SUPPORT SERVICES AGENCY
TN
01
—
L000000032055
TN DEPT. OF MENTAL HEALTH & SUBSTANCE ABUSE SERVICES LICENSE
TN
Enumeration date
01/04/2017
Last updated
01/05/2023
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