Organization
SHIRLEY ANN SPILLER-JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY ANN SPILLER-JOHNSON LPN (ADMINISTRATOR)
(901) 388-6903
Entity
Organization
Contact information
Practice address
2051 MONTREAT DR, MEMPHIS, TN 38134-6613
(901) 388-6903
(901) 388-7366
Mailing address
2051 MONTREAT DR, MEMPHIS, TN 38134-6613
(901) 388-6903
(901) 388-7366
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
00000565
TN
Other
Enumeration date
09/28/2010
Last updated
11/18/2010
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