# MGA HOME HEALTHCARE TENNESSEE, LLC

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

## Provider details

- **NPI number:** 1851039978
- **Authorized official:** ALEXANDRA LEE KOLOSKUS JD (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (720) 276-7706

## Contact information

- **Practice address:** 1661 INTERNATIONAL DR STE 400, MEMPHIS, TN 38120-1431
- **Practice address phone:** (901) 221-2266
- **Mailing address:** 7025 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85253-3675

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2022
- **Last updated:** 05/27/2022