Goode Provider
Goode Provider is an In Home Supportive Care Agency in Memphis, Tennessee. Works from 2 locations. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
2969 Mountain Terrace StMemphis, TN 38127-8335
Phone: (901) 821-1123
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1630 Goodman Rd E Ste 3, Southaven, MS 38671-9556 — (662) 470-7232
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
Record details
| NPI number | 1225527989 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brenda Montgomery — Administrator · (346) 262-2669 |
| NPI enumerated | May 8, 2018 |
| Last updated in NPPES | February 2, 2024 |
| Certification date | February 2, 2024 |
| Mailing address | Po Box 342322, Bartlett, TN 38184-2322 |
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