Private Senior Providers Etp LLC

NPI #1568564425 in Memphis, Tennessee

Provider Information

NPI Number
1568564425
Entity Type
Organization
Organization Name
Private Senior Providers Etp LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Sep 2, 2006
Last Updated
Aug 1, 2007

Practice Location

Address
234 PANDORA ST
Address 2
CO/BRENDA THOMPSON
ZIP Code
38117-2855
Phone
(901) 315-8619

Authorized Official

Name
MRS. NANCY SHERMAN GILLESPIE, HOME HEALTH AIDE
Title
OWNER
Phone
(901) 315-8619

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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