Individual
MRS. VERONICA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 POPLAR AVE STE 213, MEMPHIS, TN 38117-4432
(901) 474-7166
(901) 474-7166
Mailing address
4646 POPLAR AVE STE 213, MEMPHIS, TN 38117-4432
(901) 474-7166
(901) 474-7166
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000010608
TN
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445656
—
TN
Enumeration date
04/06/2012
Last updated
10/29/2014
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