Midsouth Residential Care Center,inc., NPI 1528397189
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Memphis, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1528397189 |
| NPI Entity Type | Organization |
| Provider Name | Midsouth Residential Care Center,inc. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1137 Breedlove St, Memphis, TN, US |
| Provider Mailing Address | Po Box 280422, Memphis, TN, US, 381680422 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Gwen B Clark |
| Official Position | ADMINISTRATOR |
| Phone | 901-314-0146 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| Classification |
Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Group | |
| License No. | L000000003760 |
| License State | TN |
| Description | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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