Organization
LEE HAMILTON CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH WHITE SR. (OPERATIONS MANAGER)
(573) 481-5473
Entity
Organization
Contact information
Practice address
4615 DUNN AVE, MEMPHIS, TN 38117-6512
(573) 481-5473
(872) 312-0821
Mailing address
3340 GREENWAY DR, HORN LAKE, MS 38637-2642
(573) 481-5473
(872) 312-0821
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
11/15/2024
Last updated
07/29/2025
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