Healthcare Provider Details

I. General information

NPI: 1295164200
Provider Name (Legal Business Name): THE HOPE CENTER AT GRACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2013
Last Update Date: 11/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

982 MEAGHER ST
MEMPHIS TN
38108-3329
US

IV. Provider business mailing address

982 MEAGHER ST
MEMPHIS TN
38108-3329
US

V. Phone/Fax

Practice location:
  • Phone: 901-323-3900
  • Fax:
Mailing address:
  • Phone: 901-323-3900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. MICHAEL H. MCGHEE
Title or Position: DIRECTOR
Credential: M.D.
Phone: 901-323-3900