Organization
FULFILLMENT HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAMESHIA SHANTEL MCGEE (EXECUTIVE DIRECTOR)
(901) 496-8579
Entity
Organization
Contact information
Practice address
2600 POPLAR AVE STE 301, MEMPHIS, TN 38112-3835
(901) 496-8579
(901) 677-1608
Mailing address
2600 POPLAR AVE STE 301, MEMPHIS, TN 38112-3835
(901) 496-8579
(901) 677-1608
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155297
—
TN
Enumeration date
07/02/2025
Last updated
08/28/2025
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