Mid South Supportive Living, Llc

LBN: Mid South Supportive Living, Llc
Mid South Supportive Living, Llc is an health care organization with primary practice located at 2600 Poplar Ave Suite 223, Memphis TN 38112-3851. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Mid South Supportive Living, Llc can be contacted via phone (901) 458-1181, or through Gayden, David via phone (901) 458-1181.

Contact Information

Primary practice address
2600 Poplar Ave Suite 223 Memphis TN 38112-3851
Phone: (901) 458-1181
Fax: (901) 324-9669
Website:
Map and Directions
Authorized official contact:
Name: Gayden, David
Phone: (901) 458-1181

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X L 3(20)M2-046-6201 Tennessee

Profile Details

NPI number 1679604458
LBN Legal business name Mid South Supportive Living, Llc
DBA Doing business as
Authorized official Gayden, David
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Sep 3rd, 2009 - about 16 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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