Organization
MEMPHIS CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH CUNNINGHAM (EXECUTIVE DIRECTOR)
(901) 726-6404
Entity
Organization
Contact information
Practice address
1633 MADISON AVE, MEMPHIS, TN 38104-2506
(901) 726-6404
(901) 726-6521
Mailing address
1633 MADISON AVE, MEMPHIS, TN 38104-2506
(901) 726-6404
(901) 726-6521
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000004198
TN
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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