Organization
PRESTIGE SENIOR LIVING OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL D FORD (CEO)
(901) 493-3911
Entity
Organization
Contact information
Practice address
3085 PERSHING AVE, MEMPHIS, TN 38112-2011
(901) 493-3911
Mailing address
3085 PERSHING AVE, MEMPHIS, TN 38112-2011
(901) 493-3911
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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