# MARY C BRACY

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

## Provider details

- **NPI number:** 1578998290
- **Authorized official:** MS. MARY C BRACY (HOME HEALTH PROVIDER/CEO)
- **Authorized official phone:** (901) 304-4328

## Contact information

- **Practice address:** 1307 VINTON AVE, \# 2, MEMPHIS, TN 38104-0503
- **Practice address phone:** (901) 304-4328
- **Mailing address:** 1307 VINTON AVE, \# 2, MEMPHIS, TN 38104-0503
- **Mailing address phone:** (901) 304-4328

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2013
- **Last updated:** 09/12/2013
