Organization
SUPPORT SOLUTIONS OF THE MID-SOUTH
Active
Organization
SUPPORT SOLUTIONS OF THE MID-SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY DURBIN EDD (CHIEF EXECUTIVE OFFICER)
(901) 383-9193
Entity
Organization
Contact information
Practice address
5909 SHELBY OAKS DR, SUITE 100, MEMPHIS, TN 38134-7317
(901) 383-9193
(901) 383-9195
Mailing address
5909 SHELBY OAKS DR, SUITE 100, MEMPHIS, TN 38134-7317
(901) 383-9193
(901) 383-9195
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L3(20)4M4-038-6644
TN
253Z00000X
In Home Supportive Care Agency
PSS0000000274
TN
Other
Enumeration date
02/22/2008
Last updated
01/07/2010
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