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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MID SOUTH SUPPORTIVE LIVING, LLC

Active Organization

Intellectual Disabilities Residential Treatment Facility · MEMPHIS, TN

Registration Details

NPI Number
1679604458
Provider Type
Organization
NPI Issued
Mar 7, 2007 (19.125149890481 yrs)
Last Updated
Sep 3, 2009
License
L 3(20)M2-046-6201 (TN)

Practice Information

Address
2600 POPLAR AVE
SUITE 223
MEMPHIS, TN, 381123851
Browse TN providers · Browse ZIP 38112
Phone
9014581181
Fax
9013249669

Other Intellectual Disabilities Residential Treatment Facility Organizations in MEMPHIS, TN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.