Organization
RIDGEMONT MANOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON WILLIAMS (ADMINISTRATOR)
(901) 336-8470
Entity
Organization
Contact information
Practice address
3805 RIDGEMONT RD, MEMPHIS, TN 38128-1948
(901) 336-8470
Mailing address
3805 RIDGEMONT RD, MEMPHIS, TN 38128-1948
(901) 336-8470
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ACL0000000319
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445078
—
TN
Enumeration date
05/09/2015
Last updated
05/09/2015
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