NPI 1649909425

Triphine Shaw

Practitioner Assisted Living Facility Memphis, TN

Practice location

Address: 6993 Cross Timber Ln, Memphis, TN 38125-2617
Phone: (901) 305-6541
Mailing address: 560 Winding Valley Ln, Collierville, TN 38017-4064

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 1000000030815 (TN)

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Registry record

NPI: 1649909425
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2022
Record last updated: 7 Jun 2022

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.