Individual
AMBER DENICE MCCULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8604 AFTERGLOW CV, CORDOVA, TN 38018-3525
(901) 578-5555
Mailing address
8604 AFTERGLOW CV, CORDOVA, TN 38018-3525
(901) 578-5555
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1000000029616
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000000029616
AGENCY LICENSE NUMBER
TN
Enumeration date
10/26/2021
Last updated
10/26/2021
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