Individual
MRS. TRANISHA D KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5304 HALEVILLE RD, MEMPHIS, TN 38116-8441
(901) 218-0568
Mailing address
5304 HALEVILLE RD, MEMPHIS, TN 38116-8441
(901) 218-0568
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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