Organization
DANDELION DIVERSIFIED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMMA JEAN COLEMAN RN (REGISTERED NURSE)
(469) 406-8797
Entity
Organization
Contact information
Practice address
8295 TOURNAMENT DR, MEMPHIS, TN 38125-8906
(469) 406-8797
Mailing address
8295 TOURNAMENT DR, MEMPHIS, TN 38125-8906
(469) 406-8797
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
RN000068705
TN
Other
Enumeration date
06/10/2015
Last updated
01/02/2016
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