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General NPI Number Information
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NPI Number | 1184433765
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Entity Type | Organization
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Legal Business Name | EMERALD MEADOWS CARE HOME
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 893 N MCNEIL ST
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City | MEMPHIS
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State | TN
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Zip | 38107-4443
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Country | US
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Telephone | 901-426-3639
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 BELLEDEER DR W
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City | CORDOVA
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State | TN
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Zip | 38016-0412
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Country | US
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Telephone | 901-426-3639
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHERYL CARTER
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Credential | RN
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Telephone | 901-426-3639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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