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Shelby Residential & Vocational Services, Inc.
Intellectual Disabilities Intermediate Care Facility in Memphis, Tennessee
NPI 1417104738

Shelby Residential & Vocational Services, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Memphis, TN. Shelby Residential & Vocational Services, Inc. practices in Memphis, TN. The NPI Number for Shelby Residential & Vocational Services, Inc. is 1417104738 and holds a License No. L323-067-6606 (Tennessee).

The current practice location address for Shelby Residential & Vocational Services, Inc. is 5109 Childs Dr, Memphis, TN and can be reached out via phone at 901-332-9893 and via fax at 901-312-9906.

Location: 5109 Childs Dr, Memphis, TN, 38118-3004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417104738
Provider Name
Shelby Residential & Vocational Services, Inc.
Credential
Provider Entity Type
Organization
Address
5109 Childs Dr, Memphis, TN, 38118-3004
Phone Number
901-332-9893
Fax Number
901-312-9906
Provider Enumeration Date
08/19/2008
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7447078 05 TN
institution
Provider Business Practice Location Address Details
Address
5109 Childs Dr
City
Memphis
State
Tennessee
Zip
38116-8614
Phone Number
901-332-9893
Fax Number
901-312-9906
person
Provider Business Mailing Address Details
Address
5109 Childs Dr
City
Memphis
State
Tennessee
Zip
38116-8614
Phone Number
901-332-9893
Fax Number
901-312-9906
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
L323-067-6606 (Tennessee)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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