Organization
KIB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BUFFY W BRIGHAM (OWNER)
(901) 304-6164
Entity
Organization
Contact information
Practice address
699 BETHEL AVE, MEMPHIS, TN 38107-2502
(901) 304-6164
Mailing address
699 BETHEL AVE, MEMPHIS, TN 38107-2502
(901) 304-6164
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TN
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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