NPI 1053003111
Midsouth Essential Shared Group Living
Practice location
- Address
- 610 N. Missour St., West Memphis, AR 72364-5007
- Phone
- (870) 301-2022
- Fax
- (901) 441-5885
- Mailing address
- 610 N. Missour St., West Memphis, AR 72364
Authorised official
- Name
- Scarlett Hunter
- Title
- Owner/Administrator
- Phone
- (901) 574-8207
Registered specialties (2)
Home Health Agency
Primary
Home Health Aide
Registry record
- NPI
- 1053003111
- Entity type
- Organization
- NPI issued
- 25 May 2023
- Record last updated
- 2 Jun 2023
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.