Organization
LP MEMPHIS LLC
Active
Other names
Signature HealthCARE of Memphis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
1150 DOVECREST RD, MEMPHIS, TN 38134-7621
(901) 382-1700
(901) 386-5116
Mailing address
1150 DOVECREST RD, MEMPHIS, TN 38134-7621
(901) 382-1700
(901) 386-5116
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
256
TN
314000000X
Skilled Nursing Facility
256
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445241
—
TN
05
—
7440555
—
TN
Enumeration date
08/05/2007
Last updated
04/04/2023
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