NPI 1114302312
At Your Residence Health Care Services
Practice location
- Address
- 1665 Bonnie Ln 106, Cordova, TN 38016-0548
- Phone
- (901) 800-2770
- Fax
- (901) 800-2771
Authorised official
- Name
- Raven Marshall
- Title
- Owner
- Phone
- (901) 800-2770
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1114302312
- Entity type
- Organization
- NPI issued
- 29 Jul 2015
- Record last updated
- 29 Jul 2015
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.