Healthcare Provider Details
I. General information
NPI: 1992230411
Provider Name (Legal Business Name): ALL IN ONE'S HANDS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/21/2017
Last Update Date: 04/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2735 S MENDENHALL RD SUITE 8
MEMPHIS TN
38115-1556
US
IV. Provider business mailing address
7636 IRONWOOD COVE
MEMPHIS TN
38125-1556
US
V. Phone/Fax
- Phone: 612-986-9756
- Fax:
- Phone: 612-986-9756
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 305R00000X |
| Taxonomy | Preferred Provider Organization |
| License Number | 305R00000X |
| License Number State | TN |
VIII. Authorized Official
Name: MS.
CHARLISS
LATASHA
MCMORRIS
Title or Position: FOUNDER/CEO
Credential:
Phone: 612-986-9756