Organization
SHELBY RESIDENTIAL & VOCATIONAL SERVICES, INC.
Active
Parent organization
SHELBY RESIDENTIAL & VOCATIONAL SERVICES, INC.
Other names
St. James
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHELBY RESIDENTIAL & VOCATIONAL SERVICES, INC.
Authorized official
SHANNON DURBIN (EXECUTIVE DIRECTOR)
(901) 821-1067
Entity
Organization
Contact information
Practice address
2115 SAINT JAMES DR, MEMPHIS, TN 38116-7670
(901) 332-9874
(901) 312-9906
Mailing address
3971 KNIGHT ARNOLD RD, MEMPHIS, TN 38118-3004
(901) 869-7787
(901) 322-6391
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
L323-067-6611
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7447080
—
TN
Enumeration date
08/21/2008
Last updated
05/02/2024
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