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Organization

LIFE OPTIONS OF WEST TN, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIA KNOX PUTNAM (OFFICE MANAGER)
(901) 623-0634
Entity
Organization

Contact information

Practice address
2600 POPLAR AVE STE 112, MEMPHIS, TN 38112-3835
(901) 347-3972
(901) 907-0299
Mailing address
2600 POPLAR AVE STE 112, MEMPHIS, TN 38112-3835
(901) 347-3972
(901) 907-0299

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
03/20/2018
Last updated
03/20/2018
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