Organization
1 ON 1 HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLTON LYNDELL (OWNER)
(901) 503-8912
Entity
Organization
Contact information
Practice address
4692 TUT CV, MEMPHIS, TN 38128-1487
(901) 503-8912
Mailing address
4692 TUT CV, MEMPHIS, TN 38128-1487
(901) 503-8912
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
TN
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568858025
PERSONAL SUPPORT SERVICES
TN
Enumeration date
11/06/2017
Last updated
11/06/2017
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