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Organization
MGA HOME HEALTHCARE TENNESSEE, LLC
Active
Organization
MGA HOME HEALTHCARE TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA LEE KOLOSKUS JD (CHIEF COMPLIANCE OFFICER)
(720) 276-7706
Entity
Organization
Contact information
Practice address
1661 INTERNATIONAL DR STE 400, MEMPHIS, TN 38120-1431
(901) 221-2266
Mailing address
7025 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85253-3675
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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