MID SOUTH SUPPORTIVE LIVING, LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Active Organization
NPI: 1679604458

Practice Address

2600 POPLAR AVE
SUITE 223
Memphis, TN 38112

Phone: (901) 458-1181

Specialties

Specialty Code Primary License
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X Yes L 3(20)M2-046-6201 (TN)

Frequently Asked Questions

NPI 1679604458 is the National Provider Identifier for MID SOUTH SUPPORTIVE LIVING, LLC, a Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Memphis, TN. This NPI was enumerated on March 7, 2007.

Quick Facts

NPI
1679604458
Type
Organization
Enumerated
Mar 7, 2007
Last Updated
Sep 3, 2009

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