MALLORY'S HOME FOR THE AGED NPI 1356675433

NPI Information

MALLORY'S HOME FOR THE AGED is a community based residential treatment facility mental illness in Memphis, TN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MALLORY'S HOME FOR THE AGED NPI is 1356675433. The provider is registered as an organization entity type.
The provider Other Name Is Mallory's Home For The Aged.

The provider's business location address is:

207 WEST PERSON AVE
MEMPHIS, TN
ZIP 38128-637
Phone: (901) 503-1505
Fax: (901) 937-4887

The provider's authorized official is Lacrecia Lashun Mcghee .
The authorized official title is Owner and has the following contact phone number (901) 503-1505.

The enumeration date for this NPI number is 9/23/2009 and was last updated on 9/2/2016.

Taxonomy Codes

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Other Identifiers

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