Organization
MANNA FOOD 4 LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ORLENDA T WILLIAMS (OWNER)
(901) 215-5294
Entity
Organization
Contact information
Practice address
860 TATUM RD, MEMPHIS, TN 38122-2543
(901) 215-5294
(901) 454-1442
Mailing address
860 TATUM RD, MEMPHIS, TN 38122-2543
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
115004719
TN
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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