NPI 1386017390

Extendimng Hearts Hhc

Organisation Health Maintenance Organization Memphis, TN

Practice location

Address: 700 Parkdale Dr, Memphis, TN 38116-6212
Phone: (901) 462-1775

Authorised official

Name: Myosha Johnson
Title: Owner
Phone: (901) 462-1775

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 115005378 (TN)

Other Health Maintenance Organization providers in Tennessee →

Registry record

NPI: 1386017390
Entity type: Organization
NPI issued: 12 Nov 2015
Record last updated: 12 Nov 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.