Organization
QUALITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMBA LASHEA JAKCOSN BSHA (OWNER)
(901) 273-3142
Entity
Organization
Contact information
Practice address
2860 MORNING LAKE DR APT 201, CORDOVA, TN 38016-2408
(901) 273-3142
Mailing address
2860 MORNING LAKE DR APT 201, CORDOVA, TN 38016-2408
(901) 273-3142
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
160000792
TN
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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