Organization
TAYLOR BROWN GARDEN HEALTHCARE LLC
Active
Other names
taylor brown garden
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVORY L TAYLOR PHD (CEO)
(901) 527-2411
Entity
Organization
Contact information
Practice address
568 POPLAR AVE, MEMPHIS, TN 38105-4510
(901) 527-2411
(901) 527-2413
Mailing address
568 POPLAR AVE, MEMPHIS, TN 38105-4510
(901) 527-2411
(901) 527-2413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251E00000X
Home Health Agency
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
1000000005282
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506990
—
TN
Enumeration date
08/14/2008
Last updated
01/27/2010
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