institution
Mid South Supportive Living, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Memphis, Tennessee
NPI 1679604458

Mid South Supportive Living, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Memphis, TN. Mid South Supportive Living, Llc practices in Memphis, TN. The NPI Number for Mid South Supportive Living, Llc is 1679604458 and holds a License No. L 3(20)M2-046-6201 (Tennessee).

The current practice location address for Mid South Supportive Living, Llc is 2600 Poplar Ave, Memphis, TN and can be reached out via phone at 901-458-1181 and via fax at 901-324-9669. You can also correspond with Mid South Supportive Living, Llc through the mailing address at 2600 POPLAR AVE, MEMPHIS, TN - 38112-3851 (mailing address contact number: 901-458-1181).

Location: 2600 Poplar Ave, Memphis, TN, 38112-3851
institution
Provider Profile Details
NPI Number
1679604458
Provider Name
Mid South Supportive Living, Llc
Credential
Provider Entity Type
Organization
Address
2600 Poplar Ave, Memphis, TN, 38112-3851
Phone Number
901-458-1181
Fax Number
901-324-9669
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2600 Poplar Ave
City
State
Zip
38112-3851
Phone Number
901-458-1181
Fax Number
901-324-9669
person
Provider Business Mailing Address Details
Address
2600 Poplar Ave
City
State
Zip
38112-3851
Phone Number
901-458-1181
Fax Number
901-324-9669
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
L 3(20)M2-046-6201 (Tennessee)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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