NPI 1679994198

Customized Medical Needs

Organisation Point of Service Memphis, TN

Practice location

Address: 8295 Tournament Dr STE 2, Memphis, TN 38125-8906
Phone: (866) 563-7772
Fax: (901) 255-0758
Mailing address: 8295 Tournamemt Dr STE 150, Memphis, TN 38125-8900

Authorised official

Name: Christi Alexander-Davidson
Title: Executive Director
Phone: (866) 563-7772

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 6151932 (TN)

Other Point of Service providers in Tennessee →

Registry record

NPI: 1679994198
Entity type: Organization
NPI issued: 31 Dec 2013
Record last updated: 31 Dec 2013

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.