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Organization
FULFILLMENT HOME CARE AGENCY LLC
Active
Organization
FULFILLMENT HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAMESHIA SHANTEL MCGEE (EXECUTIVE DIRECTOR)
(901) 496-8579
Entity
Organization
Contact information
Practice address
2600 POPLAR AVE STE 301, MEMPHIS, TN 38112-3835
(901) 496-8579
(901) 677-1608
Mailing address
2600 POPLAR AVE STE 301, MEMPHIS, TN 38112-3835
(901) 496-8579
(901) 677-1608
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155297
—
TN
Enumeration date
07/02/2025
Last updated
08/28/2025
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