Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mid South Supportive Living, LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1679604458

Mid South Supportive Living, LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2600 Poplar Ave Ste 223
Memphis, TN 38112-3851
Phone: (901) 458-1181
Fax: (901) 324-9669
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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 L 3(20)M2-046-6201 (TN)

Record details

NPI number1679604458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Gayden — Executive Director · (901) 458-1181
NPI enumeratedMarch 7, 2007
Last updated in NPPESSeptember 3, 2009
Mailing address2600 Poplar Ave, Suite 223, Memphis, TN 38112-3851

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