Organization
US VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE TAYLOR-MAYS (SUPERVISOR)
(901) 523-8990
Entity
Organization
Contact information
Practice address
575 PHELAN AVE, MEMPHIS, TN 38126-4005
(901) 523-8990
Mailing address
575 PHELAN AVE, MEMPHIS, TN 38126-4005
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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