Healthcare Provider Details
I. General information
NPI: 1598181596
Provider Name (Legal Business Name): ALMOST HOME TOO
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2014
Last Update Date: 03/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1910 MADISON AVE # 518
MEMPHIS TN
38104-2620
US
IV. Provider business mailing address
1910 MADISON AVE # 518
MEMPHIS TN
38104-2620
US
V. Phone/Fax
- Phone: 901-552-5709
- Fax: 901-552-5755
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | 253Z00000X |
| License Number State | TN |
VIII. Authorized Official
Name:
DARRYL
HENDRIX
Title or Position: PRESIDENT
Credential:
Phone: 901-406-2843