Individual
ANGEL D FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3085 PERSHING AVE, MEMPHIS, TN 38112-2011
(901) 493-3911
Mailing address
3085 PERSHING AVE, MEMPHIS, TN 38112-2011
(901) 493-3911
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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