Mallory'S Home For The Aged

LBN: Mallory'S Home For The Aged
Mallory'S Home For The Aged is an health care organization with primary practice located at 207 West Person Ave , Memphis TN 38128-4637. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Mallory'S Home For The Aged can be contacted via phone (901) 503-1505, or through Mcghee, Lacrecia Lashun via phone (901) 503-1505.

Contact Information

Primary practice address
207 West Person Ave Memphis TN 38128-4637
Phone: (901) 503-1505
Fax: (901) 937-4887
Website:
Map and Directions
Authorized official contact:
Name: Mcghee, Lacrecia Lashun
Phone: (901) 503-1505

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1356675433
LBN Legal business name Mallory'S Home For The Aged
DBA Doing business as Mallory'S Home For The Aged
Authorized official Mcghee, Lacrecia Lashun
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2009
Last updated Sep 2nd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356675433 NPPES
Tennessee MEDICAID H445602

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