Organization
TENDER LOVING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEEKA KELLY PN (DON)
(731) 343-8684
Entity
Organization
Contact information
Practice address
3540 SUMMER AVE, MEMPHIS, TN 38122-3600
(901) 324-6337
(901) 567-5801
Mailing address
3540 SUMMER AVE, MEMPHIS, TN 38122-3600
(901) 324-6337
(901) 567-5801
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11445892
—
TN
Enumeration date
12/01/2015
Last updated
12/01/2015
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