Healthcare Provider Details

I. General information

NPI: 1235927120
Provider Name (Legal Business Name): TOURAY FAMILY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 CAMARGUE CT
SMYRNA TN
37167-6554
US

IV. Provider business mailing address

312 CAMARGUE CT
SMYRNA TN
37167-6554
US

V. Phone/Fax

Practice location:
  • Phone: 615-609-3421
  • Fax:
Mailing address:
  • Phone: 615-609-3421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MOMODOU MUSA TOURAY
Title or Position: MANAGER
Credential: BS
Phone: 615-609-3421