Organization
LIKE FAMILY SUPPORTIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE RENEE TUCKER (CEO)
(901) 335-1076
Entity
Organization
Contact information
Practice address
4467 E MALLORY AVE, MEMPHIS, TN 38117-6939
(901) 283-0129
Mailing address
4467 E MALLORY AVE, MEMPHIS, TN 38117-6939
(901) 335-1076
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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