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Organization

MID-SOUTH HOME HEALTH SERVICES, LLC

Active
Other names
BrightStar Care of Memphis
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN M WILSON (OWNER)
(901) 472-4100
Entity
Organization

Contact information

Practice address
5384 POPLAR AVE STE 340, MEMPHIS, TN 38119-3656
(901) 472-4100
(866) 436-9785
Mailing address
5384 POPLAR AVE STE 340, MEMPHIS, TN 38119-3656
(901) 472-4100
(866) 436-9785

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
I000000019423
PERSONAL SUPPORT SERVICES AGENCY
TN
01
L000000032055
TN DEPT. OF MENTAL HEALTH & SUBSTANCE ABUSE SERVICES LICENSE
TN
Enumeration date
01/04/2017
Last updated
01/05/2023
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