Healthcare Provider Details

I. General information

NPI: 1609707405
Provider Name (Legal Business Name): THE UCMJ ADULT DAY ACTIVITY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6089 APPLE TREE DR
MEMPHIS TN
38115-8600
US

IV. Provider business mailing address

6089 APPLE TREE DR
MEMPHIS TN
38115-8600
US

V. Phone/Fax

Practice location:
  • Phone: 901-779-8849
  • Fax:
Mailing address:
  • Phone: 901-779-8849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN ARNOLD WILLIAMS
Title or Position: OWNER
Credential:
Phone: 901-779-8849