NPI 1285294306

Kiarad Enterprises Services LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Memphis, TN

Practice location

Address: 3994 Edenburg Dr, Memphis, TN 38127-4112
Phone: (901) 730-0368
Fax: (901) 531-8398
Mailing address: 3554 Carney St, Memphis, TN 38127-5032

Authorised official

Name: Brian O Johnson
Title: President/Owner
Phone: (901) 730-0368

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Tennessee →

Registry record

NPI: 1285294306
Entity type: Organization
NPI issued: 20 Jun 2019
Record last updated: 9 Jul 2019

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.