Healthcare Provider Details

I. General information

NPI: 1013035724
Provider Name (Legal Business Name): COMPLETE HEALTHCARE SERVICES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 02/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1652 GEORGIAN DR
MEMPHIS TN
38127-4313
US

IV. Provider business mailing address

1652 GEORGIAN DR
MEMPHIS TN
38127-4313
US

V. Phone/Fax

Practice location:
  • Phone: 901-690-9149
  • Fax: 901-358-9933
Mailing address:
  • Phone: 901-690-9149
  • Fax: 901-358-9933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. DAPHNE BENITA BEECH
Title or Position: PRESIDENT
Credential: FNP
Phone: 901-690-9149