Organization
KEM'S HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEM EDWARDS M.ED., M.A.T. (EXECUTIVE DIRECTOR)
(901) 409-1785
Entity
Organization
Contact information
Practice address
3030 COVINGTON PIKE, SUITE 241, MEMPHIS, TN 38128-5048
(901) 409-1785
Mailing address
3030 COVINGTON PIKE, SUITE 241, MEMPHIS, TN 38128-5048
(901) 409-1785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
TN
252Y00000X
Early Intervention Provider Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
305S00000X
Point of Service
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q013714
—
TN
Enumeration date
05/05/2015
Last updated
01/10/2017
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