Individual provider · NPI-1

Demetria Denise Bailey, Administrator RHA

Custodial Care Facility, Adult Care Home · Memphis, TN

NPI number1073299285

StatusActive

Last updated in NPPESSep 8, 2026

Details

NPI: 1073299285
Entity type: Individual (NPI-1)
Name: Demetria Denise Bailey
Credential: Administrator RHA
Sex: Female
Sole proprietor: Yes
Enumeration date: Jun 22, 2023
Certification date: Sep 8, 2026
Last updated: Sep 8, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
311ZA0620X	Custodial Care Facility, Adult Care Home	L000000041159	TN	Yes

Practice location

2849 Shady Oak Ave
Memphis, TN 38112-4656

Phone 901-340-4623 · Fax 901-370-2268

Mailing address

2849 Shady Oak Ave
Memphis, TN 38112-4656

Phone 901-340-4623 · Fax 901-370-2268

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