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WELL CHILD INC. NPI 1073703591


NPI Information

NPI: 1073703591
Provider Name: WELL CHILD INC.
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
2158 UNION AVE STE 100
MEMPHIS, TN
ZIP 38104
Phone: (901) 728-5858
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WELL CHILD INC. is a nursing care and pediatric skilled nursing facility in Memphis, TN. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. WELL CHILD INC. NPI is 1073703591. The provider is registered as an organization entity type.

The provider's business location address is:

2158 UNION AVE STE 100
MEMPHIS, TN
ZIP 38104-297
Phone: (901) 728-5858
Fax: (901) 274-5858

The provider's authorized official is Mallory I Wilbon .
The authorized official title is Nurse Practioner and has the following contact phone number (901) 728-5858.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 7/31/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric10556TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15440184MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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