Organization
SUPPORTIVE LIVING CONCEPTS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HAMPTON (CEO)
(901) 949-0011
Entity
Organization
Contact information
Practice address
3391 OLD GETWELL RD, MEMPHIS, TN 38118-3635
(901) 949-0011
Mailing address
3391 OLD GETWELL RD, MEMPHIS, TN 38118-3635
(901) 949-0011
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
00000000
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311Z0000X
TAXONMY
TN
Enumeration date
05/15/2012
Last updated
05/15/2012
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