Lacy Care Facility

NPI #1285946301 in Memphis, Tennessee

Provider Information

NPI Number: 1285946301
Entity Type: Organization
Organization Name: Lacy Care Facility
Primary Specialty: Intermediate Care Facility, Mental Illness
Enumeration Date: Jul 6, 2010
Last Updated: Jul 6, 2010

Practice Location

Address: 3533 KENDRICK RD
City: Memphis
State: Tennessee
ZIP Code: 38108-2026
Phone: (901) 372-3327

Authorized Official

Name: MR. RANDY BRADFORD
Title: CO-OWNER/PARTNERSHIP
Phone: (901) 268-7531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Custodial Care Facility - Adult Care Home — Adult Care Home	311ZA0620X
Intermediate Care Facility, Mental Illness	310500000X	Primary

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