Organization
TTMSCARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENEKA TERIE MACON-SMITH (OWNER)
(901) 600-0664
Entity
Organization
Contact information
Practice address
2373 MEADOW RIDGE DR, CORDOVA, TN 38016-8468
(901) 600-0664
Mailing address
2373 MEADOW RIDGE DR, CORDOVA, TN 38016-8468
(901) 600-0664
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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