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Marsha Leake, Vice President

Clinic/Center, Adult Day Care in Bartlett, TN. Individual provider (NPI-1).

NPI number1407366362
StatusActive
Last updated in NPPESOct 5, 2017

Details

NPI
1407366362
Entity type
Individual (NPI-1)
Name
Marsha Leake
Credential
Vice President
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 5, 2017
Last updated
Oct 5, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA0600X Clinic/Center, Adult Day Care––Yes

Practice location

5724 Stage Rd Ste F
Bartlett, TN 38134-4572

Phone 901-383-0417

Mailing address

4630 Orange Tulip Dr
Memphis, TN 38135-0749

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