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NPI Code Detail

MEDICARE: T & J PERSONAL SUPPORT SERVICES AGENCY, LLC

MEDICARE: T & J PERSONAL SUPPORT SERVICES AGENCY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1184576647
Entity Type Code : Organization
Provider Name (Legal Business Name) : T & J PERSONAL SUPPORT SERVICES AGENCY, LLC
Provider Business Mailing Address
First Line : 3725 RICHBROOK DR
Second Line :
City : MEMPHIS
State : TN
Zip : 38135-0299
Country : US
Telephone Number : 901-870-3795
Fax Number : 901-371-9237
Provider Business Practice Location Address
First Line : 3725 RICHBROOK DR
Second Line :
City : MEMPHIS
State : TN
Zip : 38135-0299
Country : US
Telephone Number : 901-870-3795
Fax Number : 901-371-9237
Authorized Official
Title or Position : OWNER
Name : MRS. TANTILEER MOORE
Credential :
Telephone Number : 901-870-3795
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “T & J PERSONAL SUPPORT SERVICES AGENCY, LLC ” Practice Location

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