Organization
ELDER CARE SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSETTA PERKINS (ADMINISTRATOR)
(901) 398-2167
Entity
Organization
Contact information
Practice address
3318 MILLBRANCH RD, MEMPHIS, TN 38116-3624
(901) 398-2167
(901) 398-9337
Mailing address
3318 MILLBRANCH RD, MEMPHIS, TN 38116-3624
(901) 398-2167
(901) 398-9337
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
104002243
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4129896
BLUE CROSS/BLUE SHIELD
TN
05
—
T000213
—
TN
Enumeration date
03/28/2008
Last updated
03/28/2008
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