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Organization
OPEN HEART COMMUNITY FOUNDATION
Active
Organization
OPEN HEART COMMUNITY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY LASHAY RUCKER PSSA (PSSA)
(901) 409-9740
Entity
Organization
Contact information
Practice address
1981 KANSAS ST, MEMPHIS, TN 38109-1968
(901) 409-1228
Mailing address
5363 RAVENDALE AVE, MEMPHIS, TN 38134-4430
(901) 409-1228
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
07/22/2022
Last updated
08/23/2022
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