Organization
MED PLUS INC
Active
Organization
MED PLUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
P GIBONEY (VP)
(901) 562-3055
Entity
Organization
Contact information
Practice address
875 W POPLAR AVE, COLLIERVILLE, TN 38017-2513
(901) 562-3055
Mailing address
875 W POPLAR AVE, COLLIERVILLE, TN 38017-2513
(901) 562-3055
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
TN
347E00000X
Transportation Broker
—
TN
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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