Whalio Doctors

NPI 1811089824

Functional Independence,inc.

Organisation Developmentally Disabled Services Day Training Agency Memphis, TN

Practice location

Address
2502 Mount Moriah Rd STE A-148, Memphis, TN 38115-1510
Phone
(901) 546-7660
Fax
(901) 546-7662

Authorised official

Name
Julie D Boles
Title
Ceo
Phone
(901) 546-7660

Registered specialties

Developmentally Disabled Services Day Training Agency Primary
Agencies Taxonomy 251C00000X Licence 0000000610 (TN)

Registry record

NPI
1811089824
Entity type
Organization
NPI issued
28 Sep 2006
Record last updated
22 Aug 2020

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.