Organization

Mid South Senior Care, Llc

May also be knows as Mid-south Senior Care

In Home Supportive Care Agency in Memphis, TN(View on Map)

Legal Business Name

Mid South Senior Care, Llc

Also Known As

Mid-south Senior Care

NPI Number

1417353103

NPI Type

Organization

Enumeration Date

11/07/2014

Specialties

(Taxonomies)

Code

253Z00000X

Primary Taxonomy

Yes

Licenses

State

Tennessee

License Number

L000000013736

Contact
Information

Purpose

Mailing
Location

Address

5050 POPLAR AVE
5050 POPLAR AVE

City

Memphis
Memphis

State

TN
TN

Postal Code

38157-0101
38157-0101

Country

US
US

Telephone Number

(901) 766-7660
(901) 766-7660

Authorized Official

Name

Mr. Michael Gilliland

Title or Position

PRESIDENT

Telephone Number

(901) 766-7660

Identifiers

Identifier

H445514

Identifier State

TN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/07/2014

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