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Organization

INDEPENDENCE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORHONDA DAWSON BOLTON OTR/L (EXECUTIVE DIRECTOR)
(901) 312-5600
Entity
Organization

Contact information

Practice address
119 S MAIN ST, SUITE 500, MEMPHIS, TN 38103-3647
(901) 312-5600
(901) 312-5605
Mailing address
119 S MAIN ST, SUITE 500, MEMPHIS, TN 38103-3647
(901) 312-5600
(901) 312-5605

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00000043
TN

Other

Enumeration date
08/29/2007
Last updated
08/29/2007
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