Organization
WELL CHILD INC.
Active
Parent organization
WELL CHILD INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELL CHILD INC.
Authorized official
MS. MALLORY I WILBON (NURSE PRACTIONER)
(901) 728-5858
Entity
Organization
Contact information
Practice address
2158 UNION AVE STE 100, MEMPHIS, TN 38104-4297
(901) 728-5858
(901) 274-5858
Mailing address
2158 UNION AVE STE 100, MEMPHIS, TN 38104-4297
(901) 728-5858
(901) 274-5858
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
10556
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440184
—
TN
Enumeration date
07/31/2007
Last updated
07/31/2007
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