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General NPI Number Information
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NPI Number | 1841137726
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Entity Type | Organization
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Legal Business Name | VELMA'S GROUP HOME
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 3638 RUSSELWOOD DR
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City | MEMPHIS
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State | TN
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Zip | 38128-5242
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Country | US
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Telephone | 901-502-9346
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Fax |
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Provider Business Mailing Address
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Address Line | 3409 COLEMAN RD 3638 RUSSELWOOD DRIVE
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City | MEMPHIS
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State | TN
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Zip | 38128-3619
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Country | US
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Telephone | 901-502-9346
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH WARD
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Credential | CARE GIVER
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Telephone | 901-502-9346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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