Organization
QUALITY CARE SUPPORT COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEKA LATRICE GANT (CEO)
(901) 219-7138
Entity
Organization
Contact information
Practice address
2966 ELMORE PARK RD, BARTLETT, TN 38184-0439
(901) 219-7138
Mailing address
2966 ELMORE PARK RD, BARTLETT, TN 38184-0439
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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