Organization
EXPLORATORY CENTERS OF AMERICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LULA MARTIN SANDERSON (EXECUTIVE DIRECTOR)
(901) 254-6853
Entity
Organization
Contact information
Practice address
1959 DARTFORD CV, CORDOVA, TN 38016-1411
(901) 907-1041
Mailing address
1959 DARTFORD CV, CORDOVA, TN 38016-1411
(901) 907-1041
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
I000000020142
TN
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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