Organization
LILY HEALTHCARE SERVICE
Active
Other names
Lily Healthcare Service
Organization subpart
No
Provider details
NPI number
Authorized official
DINEKA THOMAS (OWNER)
(901) 205-8656
Entity
Organization
Contact information
Practice address
4290 RIDGESTONE DR APT 5, MEMPHIS, TN 38128-1837
(901) 205-8656
Mailing address
4290 RIDGESTONE DR APT 5, MEMPHIS, TN 38128-1837
(901) 205-8656
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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