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Candice Camille Green, CLPN
Home Health Agency in Memphis, Tennessee
NPI 1629637459

Candice Camille Green is a Home Health Agency based in Memphis, TN. Candice Camille Green practices in Memphis, TN and has the professional credentials of CLPN. The NPI Number for Candice Camille Green is 1629637459 and holds a License No. 170003387 (Tennessee).

The current practice location address for Candice Camille Green is 5100 Poplar Ave Fl 27, Memphis, TN and can be reached out via phone at 662-815-0547 and via fax at 901-878-3181.

Location: 5100 Poplar Ave Fl 27, Memphis, TN, 38137-2701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629637459
Provider Name
Candice Camille Green
Credential
CLPN
Provider Entity Type
Individual
Gender
Female
Address
5100 Poplar Ave Fl 27, Memphis, TN, 38137-2701
Phone Number
662-815-0547
Fax Number
901-878-3181
Provider Enumeration Date
06/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
170003387 01 TN BUSINESS LICENSE
institution
Provider Business Practice Location Address Details
Address
5100 Poplar Ave Fl 27
City
Memphis
State
Tennessee
Zip
38137-2701
Phone Number
662-815-0547
Fax Number
901-878-3181
person
Provider Business Mailing Address Details
Address
5100 Poplar Ave Fl 27
City
Memphis
State
Tennessee
Zip
38137-2701
Phone Number
662-815-0547
Fax Number
901-878-3181
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
170003387 (Tennessee)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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