Individual provider · NPI-1

Katie Boyce Berry

Homemaker · Memphis, TN

NPI number1649725631
StatusActive
Last updated in NPPESAug 18, 2016

Details

NPI
1649725631
Entity type
Individual (NPI-1)
Name
Katie Boyce Berry
Sex
Female
Sole proprietor
No
Enumeration date
Aug 18, 2016
Last updated
Aug 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes
372500000X Chore Provider––
372600000X Adult Companion––
3747A0650X Technician, Attendant Care Provider––
374U00000X Home Health Aide––

Practice location

7133 Chevy Chase
Memphis, TN 38125-2610

Phone 901-620-9264 · Fax 901-328-5592

Mailing address

7133 Chevy Chase
Memphis, TN 38125-2610

Phone 901-620-9264 · Fax 901-328-5592

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