Mid South Residential Care Center
Mid South Residential Care Center is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2011.
- Licensed in
- TN
- In the registry since
- 2011
Practice location Address checks out
1137 Breedlove StMemphis, TN 38107-2101
Phone: (901) 314-0146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence I000000007899 (TN) |
|---|
Record details
| NPI number | 1265737795 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gwendolyn Clark — Administrator · (901) 314-0146 |
| NPI enumerated | January 13, 2011 |
| Last updated in NPPES | January 13, 2011 |
| Mailing address | P.O. Box 280422, Memphis, TN 38107 |
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