Organization
MISSIONARY HOMECARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOREEN LEWIS THOMPSON (OWNER/CEO)
(901) 949-2517
Entity
Organization
Contact information
Practice address
4384 STAGE RD, SUITE 212, MEMPHIS, TN 38128-5794
(901) 249-3931
(901) 249-8134
Mailing address
4384 STAGE RD, SUITE 212, MEMPHIS, TN 38128-5794
(901) 249-3931
(901) 249-8134
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445667
—
TN
Enumeration date
02/10/2015
Last updated
06/17/2015
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