Mid South Supportive Living, Llc in Memphis - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mid South Supportive Living, Llc - NPI 1679604458
Mid South Supportive Living, Llc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Memphis, Tennessee. Mid South Supportive Living, Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Mid South Supportive Living, Llc is 1679604458. The last update date is 2009-09-03.
Mid South Supportive Living, Llc's current location address is 2600 Poplar Ave, Memphis, Tennessee. You can contact this provider via phone number 9014581181 and fax number 9013249669. The mailing address for Mid South Supportive Living, Llc is 2600 Poplar Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mid South Supportive Living, Llc |
|---|---|
| Address | 2600 Poplar Ave, Memphis, Tennessee |
| Phone Number | 9014581181 |
| Fax Number | 9013249669 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Gayden David |
| Telephone Number | 9014581181 |
NPI Number Detail
| NPI Number | 1679604458 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2009-09-03 |
Provider Mailing Address Detail
| Address | 2600 Poplar Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381123851 |
| Phone Number | 9014581181 |
| Fax Number | 9013249669 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | L 3(20)M2-04 |
|
Definition: 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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Post Comment/ Review Below
What is the unique identifier code issued to Mid South Supportive Living, Llc by the Centers for Medicare & Medicaid Services?
The Mid South Supportive Living, Llc has been assigned the NPI (National Provider Identifier) 1679604458. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mid South Supportive Living, Llc is physically located?
The Mid South Supportive Living, Llc is physically situated at the following address: 2600 Poplar Ave, Memphis, TN, 381123851.
What is Mid South Supportive Living, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mid South Supportive Living, Llc is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320600000X.
When was the Mid South Supportive Living, Llc's 1679604458 issued?
The Mid South Supportive Living, Llc's 1679604458 was issued on 2007-03-07.
As of what date were the details pertaining to Mid South Supportive Living, Llc last refreshed?
The information related to the Mid South Supportive Living, Llc, including its address, specialty, and other relevant details, was last updated on 2009-09-03.