Organization
HOME OPPORTUNITY PLACEMENT ASSISTANT 4 LIVING CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GRAY (DIRECTOR OF OPERATION)
(901) 315-8135
Entity
Organization
Contact information
Practice address
3165 OVERTON CROSSING ST, MEMPHIS, TN 38127-6522
(901) 572-1759
(901) 255-2609
Mailing address
PO BOX 27473, MEMPHIS, TN 38167-0473
(901) 572-1759
(901) 255-0609
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821613571
HOME HEALTH CARE
TN
Enumeration date
11/30/2022
Last updated
11/30/2022
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