NPI 1043467103

Shelby Residential & Vocational Services, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Memphis, TN

Practice location

Address: 3250 Sandwick Rd, Memphis, TN 38128-4154
Phone: (901) 357-0994
Fax: (901) 312-9906
Mailing address: 3971 Knight Arnold Rd, Memphis, TN 38118-3004

Authorised official

Name: Shannon Durbin
Title: Executive Director
Phone: (901) 312-6845

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence L323-067-6620 (TN)

Other Intermediate Care Facility, Intellectual Disabilities providers in Tennessee →

Registry record

NPI: 1043467103
Entity type: Organization
NPI issued: 20 Aug 2008
Record last updated: 2 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.