NPI 1114220332
Guardian Community Living, LLC
Practice location
- Address
- 895 Willow Tree Cir, Cordova, TN 38018-3106
- Phone
- (901) 682-1940
- Mailing address
- 105 Westpark Dr, Brentwood, TN 37027-5319
Authorised official
- Name
- Don Ireland
- Title
- Cfo
- Phone
- (615) 377-9140
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1114220332
- Entity type
- Organization
- NPI issued
- 9 Dec 2010
- Record last updated
- 9 Dec 2010
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.