# MULL FOUNDATION

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

## Provider details

- **NPI number:** 1477975654
- **Authorized official:** MICHAEL MULL MPA (AGENT)
- **Authorized official phone:** (901) 314-8701

## Contact information

- **Practice address:** 6796 BLUE LAKE LN, MEMPHIS, TN 38141-0582
- **Practice address phone:** (901) 314-8701
- **Mailing address:** 6796 BLUE LAKE LN, MEMPHIS, TN 38141-0582
- **Mailing address phone:** (901) 314-8701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2014
- **Last updated:** 01/07/2014