Organization
BLESSED HANDS VETERANS ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN LANG SMITH (CHAIRMAN & CEO)
(901) 348-9985
Entity
Organization
Contact information
Practice address
4112 SHIRLEY DR, MEMPHIS, TN 38109-4600
(901) 348-9985
Mailing address
4112 SHIRLEY DR, MEMPHIS, TN 38109-4600
(678) 435-9145
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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