Organization · NPI-2

Em Memory Loss Center

Alzheimer Center (Dementia Center) · Memphis, TN

NPI number1750968533
StatusActive
Last updated in NPPESMar 26, 2021

Details

NPI
1750968533
Entity type
Organization (NPI-2)
Legal business name
Em Memory Loss Center
Organization subpart
No
Enumeration date
Mar 26, 2021
Certification date
Mar 26, 2021
Last updated
Mar 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311500000X Alzheimer Center (Dementia Center)––Yes
261QP2000X Clinic/Center, Physical Therapy––
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)––

Other names

  • Ella M Memory Care Center (Doing Business As)

Practice location

118 River Heights Dr Apt 102
Memphis, TN 38103-6979

Phone 901-235-5717 · Fax 209-680-3568

Mailing address

118 River Heights Dr Apt 102
Memphis, TN 38103-6979

Phone 901-235-5717 · Fax 209-680-3568

Authorized official

Jacqueline Sims
Ceo
9012355717

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