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Organization

CARING HOMES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH OWENS JR. (RESIDENTIAL MANAGER)
(901) 451-2222
Entity
Organization

Contact information

Practice address
4427 E MALLORY AVE, MEMPHIS, TN 38117-6937
(901) 451-2222
Mailing address
4427 E MALLORY AVE, MEMPHIS, TN 38117-6937
(901) 451-2222

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
03/29/2012
Last updated
03/29/2012
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