Organization
ALLY HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL OKEMBA OKELLO BEHAVIOR ANALYST (CEO)
(901) 606-6352
Entity
Organization
Contact information
Practice address
205 WINDBROOK DR, PIPERTON, TN 38017-5182
(901) 606-6352
Mailing address
205 WINDBROOK DR, PIPERTON, TN 38017-5182
(901) 606-6352
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Enumeration date
08/21/2017
Last updated
07/21/2022
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