Organization
CASA BLANCO FARMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY MARSHAE HILL (EXECUTIVE DIRECTOR)
(901) 632-2259
Entity
Organization
Contact information
Practice address
10 E GEETER RD, MEMPHIS, TN 38109-6616
(901) 632-2259
Mailing address
10 E GEETER RD, MEMPHIS, TN 38109-6616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/08/2025
Last updated
10/13/2025
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