Organization
GOLDEN 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE MACK (OWNER)
(870) 733-4695
Entity
Organization
Contact information
Practice address
1331 UNION AVE, SUITE 1226, MEMPHIS, TN 38104-3513
(901) 726-5888
(901) 726-6888
Mailing address
1331 UNION AVE, SUITE 1226, MEMPHIS, TN 38104-3513
(901) 726-5888
(901) 726-6888
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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