Organization
MIC'S PLACE, INC.
Active
Other names
Care Nests
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE L BARNES (DIRECTOR OF OPERATIONS)
(615) 617-4173
Entity
Organization
Contact information
Practice address
8295 TOURNAMENT DR, STE 150, ANTIOCH, TN 37013-3117
(615) 617-4173
(615) 413-7373
Mailing address
8295 TOURNAMENT DR STE 150, MEMPHIS, TN 38125-8900
(615) 617-4173
(615) 413-7373
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
01/08/2026
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