Healthcare Provider Details

I. General information

NPI: 1144561226
Provider Name (Legal Business Name): MEMPHIS OPCO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 05/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6025 PRIMACY PKWY
MEMPHIS TN
38119-5763
US

IV. Provider business mailing address

6 CADILLAC DR SUITE 310
BRENTWOOD TN
37027-5080
US

V. Phone/Fax

Practice location:
  • Phone: 901-767-1040
  • Fax: 901-685-7362
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM D. ORAND
Title or Position: CEO
Credential:
Phone: 615-250-7100