Organization
KV QUALITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD W EVANS (MANAGING MEMBER)
(901) 825-2432
Entity
Organization
Contact information
Practice address
109 LYNNFIELD ST, MEMPHIS, TN 38120-2305
(901) 825-2432
Mailing address
109 LYNNFIELD ST, MEMPHIS, TN 38120-2305
(901) 825-2432
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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