# EM MEMORY LOSS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ella M Memory Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750968533
- **Authorized official:** JACQUELINE SIMS (CEO)
- **Authorized official phone:** (901) 235-5717

## Contact information

- **Practice address:** 118 RIVER HEIGHTS DR APT 102, MEMPHIS, TN 38103-6979
- **Practice address phone:** (901) 235-5717
- **Practice address fax:** (209) 680-3568
- **Mailing address:** 118 RIVER HEIGHTS DR APT 102, MEMPHIS, TN 38103-6979
- **Mailing address phone:** (901) 235-5717
- **Mailing address fax:** (209) 680-3568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2021
- **Last updated:** 03/26/2021