Organization
MID-SOUTH AREA RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRENTON MATTHEWS (CEO)
(901) 833-1298
Entity
Organization
Contact information
Practice address
5830 MOUNT MORIAH RD STE 22, MEMPHIS, TN 38115-1628
(901) 363-6273
(901) 363-6168
Mailing address
5830 MOUNT MORIAH RD STE 22, MEMPHIS, TN 38115-1628
(901) 363-6273
(901) 363-6168
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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