Organization
LACY AND BRADFORD CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIE B. LACY (PARTNERSHIP)
(901) 372-3327
Entity
Organization
Contact information
Practice address
3533 KENDRICK RD, MEMPHIS, TN 38108-2026
(901) 372-3327
(901) 372-3327
Mailing address
3533 KENDRICK RD, MEMPHIS, TN 38108-2026
(901) 372-3327
(901) 372-3327
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
L000000005891
TN
Other
Enumeration date
02/20/2010
Last updated
02/20/2010
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