Organization
AT HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLAN LYNNETTE JOHNSON (OWNER/COO)
(901) 590-5590
Entity
Organization
Contact information
Practice address
5050 POPLAR AVE STE 1715, MEMPHIS, TN 38157-1701
(901) 827-4522
Mailing address
5050 POPLAR AVE STE 1715, MEMPHIS, TN 38157-1701
(901) 590-5590
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821649385
NPI
—
Enumeration date
09/30/2019
Last updated
09/30/2019
About Stedi
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