Organization
LE DUJOUR H.E.R.O. VILLAGE OF THE MID-SOUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VACHENZIA MCGRAW-MCKINNEY (CEO)
(662) 388-0140
Entity
Organization
Contact information
Practice address
3750 HACKS CROSS RD STE 102-218, MEMPHIS, TN 38125-2367
(662) 388-0140
Mailing address
3750 HACKS CROSS RD STE 102-218, MEMPHIS, TN 38125-2367
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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