NPI 1417308172
Minnola Residential Care Services,llc
Practice location
- Address
- 4264 Genyth Ave, Memphis, TN 38128-3212
- Phone
- (901) 857-6635
Authorised official
- Name
- Terethra Harris
- Title
- Owner/Director
- Phone
- (901) 857-6635
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1417308172
- Entity type
- Organization
- NPI issued
- 23 Jun 2016
- Record last updated
- 23 Jun 2016
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.