Healthcare Provider Details
I. General information
NPI: 1699054346
Provider Name (Legal Business Name): ALMOST HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/12/2011
Last Update Date: 08/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5507 SANTA MONICA ST
MEMPHIS TN
38116-9233
US
IV. Provider business mailing address
3041 GETWELL RD STE 105H
MEMPHIS TN
38118-3737
US
V. Phone/Fax
- Phone: 901-406-2843
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 323P00000X |
| Taxonomy | Psychiatric Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DARRYL
HENDRIX
Title or Position: CEO
Credential:
Phone: 901-406-2843