Organization
HOME SWEET HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOBRA JEFFRIES (OWNER)
(901) 356-1195
Entity
Organization
Contact information
Practice address
200 POPLAR AVE, STE 102, MEMPHIS, TN 38103-1959
(901) 356-1195
(901) 575-3328
Mailing address
7955 CAMPTOWN LN, OLIVE BRANCH, MS 38654-1241
(901) 356-1195
(901) 575-3328
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000015160
TN
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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