Individual
MICHELLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4112 ELK GROVE CV, MEMPHIS, TN 38115-6215
(901) 654-9065
Mailing address
4112 ELK GROVE CV, MEMPHIS, TN 38115-6215
(901) 654-9065
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445869
—
TN
Enumeration date
12/22/2012
Last updated
08/31/2022
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