Organization
MGA HOME HEALTHCARE TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA LEE KOLOSKUS JD (CHIEF COMPLIANCE OFFICER)
(720) 276-7706
Entity
Organization
Contact information
Practice address
1661 INTERNATIONAL DR STE 400, MEMPHIS, TN 38120-1431
(901) 221-2266
Mailing address
7025 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85253-3675
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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