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

Midsouth Residential Care Center, Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1528397189

Midsouth Residential Care Center, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1137 Breedlove St
Memphis, 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 L000000003760 (TN)

Record details

NPI number1528397189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gwen Clark — Administrator · (901) 314-0146
NPI enumeratedDecember 10, 2009
Last updated in NPPESDecember 10, 2009
Mailing addressPo Box 280422, Memphis, TN 38168-0422

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