Organization
SENIOR ENHANCEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA LEAKE (OWNER/COO)
(901) 383-0417
Entity
Organization
Contact information
Practice address
5724 STAGE RD STE F, BARTLETT, TN 38134-4572
(901) 383-0417
Mailing address
4630 ORANGE TULIP DR, MEMPHIS, TN 38135-0749
(901) 383-0417
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1617T
TN
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
Update your record
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