Individual
SHIRLEY FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 W FAIRWAY AVE APT 123, MEMPHIS, TN 38109-2006
(901) 430-7566
Mailing address
1615 CANE MEADOW CIR APT 106, MEMPHIS, TN 38106-6126
(901) 430-7566
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
02/15/2022
Last updated
03/02/2022
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