Organization
ANGELCITY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH E MONROE NONE (PRESIDENT & CEO)
(901) 395-0199
Entity
Organization
Contact information
Practice address
3385 AIRWAYS BLVD, SUITE 119, MEMPHIS, TN 38116-3841
(901) 395-0199
Mailing address
3385 AIRWAYS BLVD, SUITE 119, MEMPHIS, TN 38116-3841
(901) 395-0199
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5188562
TN
310400000X
Assisted Living Facility
5188562
TN
3104A0625X
Assisted Living Facility (Mental Illness)
5188562
TN
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
5188562
TN
311500000X
Alzheimer Center (Dementia Center)
5188562
TN
311Z00000X
Custodial Care Facility
1770784688
TN
313M00000X
Nursing Facility/Intermediate Care Facility
5188562
TN
320700000X
Physical Disabilities Residential Treatment Facility
5188562
TN
Other
Enumeration date
05/29/2007
Last updated
07/18/2007
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