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Angel D Ford

Home Health Aide in Memphis, TN. Individual provider (NPI-1).

NPI number1659986396
StatusActive
Last updated in NPPESSep 10, 2020

Details

NPI
1659986396
Entity type
Individual (NPI-1)
Name
Angel D Ford
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 10, 2020
Certification date
Sep 9, 2020
Last updated
Sep 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes
106S00000X Behavior Technician––
372600000X Adult Companion––
3747P1801X Technician, Personal Care Attendant––
376K00000X Nurse's Aide––

Practice location

3085 Pershing Ave
Memphis, TN 38112-2011

Phone 901-493-3911

Mailing address

3085 Pershing Ave
Memphis, TN 38112-2011

Phone 901-493-3911

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