Organization
J.A.L. SUPPORTIVE CARE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA ROSS-GLASS (CEO DIRECTOR)
(901) 623-6220
Entity
Organization
Contact information
Practice address
3898 MARY LEE DR, MEMPHIS, TN 38116-5718
(901) 623-6220
Mailing address
3540 SUMMER AVE STE 310, MEMPHIS, TN 38122-3632
(901) 623-6220
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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