Healthcare Provider Details

I. General information

NPI: 1740672799
Provider Name (Legal Business Name): THE PARKER FIRM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2015
Last Update Date: 02/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7203 MCCLESKEY CV
CORDOVA TN
38018-5688
US

IV. Provider business mailing address

7203 MCCLESKEY CV
CORDOVA TN
38018-5688
US

V. Phone/Fax

Practice location:
  • Phone: 901-687-7893
  • Fax: 901-440-8279
Mailing address:
  • Phone: 901-687-7893
  • Fax: 901-440-8279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PRINCESS TERRY
Title or Position: OWNER
Credential:
Phone: 901-687-7893