Midsouth Residential Care Center,Inc.
LBN: Midsouth Residential Care Center,Inc.
Midsouth Residential Care Center,Inc. is an health care organization with primary practice located at 1137 Breedlove St , Memphis TN 38107-2101. 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.
Midsouth Residential Care Center,Inc. can be contacted via phone (901) 314-0146, or through Clark, Gwen B via phone (901) 314-0146.
Contact Information
Primary practice address
1137 Breedlove St
Memphis TN 38107-2101
Phone: (901) 314-0146
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | L000000003760 | Tennessee |
Profile Details
NPI number | 1528397189 |
---|---|
LBN Legal business name | Midsouth Residential Care Center,Inc. |
DBA Doing business as | |
Authorized official | Clark, Gwen B |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 10th, 2009 |
Last updated | Dec 10th, 2009 - about 15 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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