NPI 1659693471

Lacy and Bradford Care Facility

Organisation Preferred Provider Organization Memphis, TN

Practice location

Address: 3533 Kendrick Rd, Memphis, TN 38108-2026
Phone: (901) 372-3327
Fax: (901) 372-3327

Authorised official

Name: Lillie B. Lacy
Title: Partnership
Phone: (901) 372-3327

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence L000000005891 (TN)

Other Preferred Provider Organization providers in Tennessee →

Registry record

NPI: 1659693471
Entity type: Organization
NPI issued: 20 Feb 2010
Record last updated: 20 Feb 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.