Organization
EASY LIVING HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENITA MCKINNEY (OWNER)
(901) 238-1790
Entity
Organization
Contact information
Practice address
7389 CANDI CV, MEMPHIS, TN 38125-4131
(901) 238-1790
Mailing address
6000 POPLAR AVE, MEMPHIS, TN 38119-3981
(901) 238-1790
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17606
—
TN
Enumeration date
02/10/2016
Last updated
02/10/2016
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