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NPI Code Detail

MEDICARE: HANDSON HEALTHCARE, INC.

MEDICARE: HANDSON HEALTHCARE, INC.
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 AgencyI000000008012TN
2251E00000XHome Health AgencyI000000008012TN

General Provider Information

NPI Number : 1548565567
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANDSON HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 6000 POPLAR AVE
Second Line : SUITE 250
City : MEMPHIS
State : TN
Zip : 38119-3981
Country : US
Telephone Number : 901-261-5441
Fax Number : 901-261-5401
Provider Business Practice Location Address
First Line : 6000 POPLAR AVE
Second Line : SUITE 250
City : MEMPHIS
State : TN
Zip : 38119-3981
Country : US
Telephone Number : 901-261-5441
Fax Number : 901-261-5401
Authorized Official
Title or Position : ADMINISTRATIVE DIRECTOR
Name : MS. TRACEY L HARRIS
Credential : M.A.ED.
Telephone Number : 901-261-5441
Provider Enumeration Date : 01/23/2011
Last Update Date : 02/01/2011

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