Organization
SHELBY COUNTY GOVERNMENT
Active
Other names
Aging Commission of the Mid-South
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORA IVEY (EXECUTIVE DIRECTOR)
(907) 222-4100
Entity
Organization
Contact information
Practice address
2670 UNION AVENUE EXT, SUITE 1000, MEMPHIS, TN 38112-4426
(901) 222-4100
(901) 222-4199
Mailing address
2670 UNION AVENUE EXT, SUITE 1000, MEMPHIS, TN 38112-4426
(901) 222-4100
(901) 222-4199
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445759
—
TN
Enumeration date
01/18/2017
Last updated
01/30/2017
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