Organization · NPI-2

Angelcity Corporation

Clinic/Center, Physical Therapy · Memphis, TN

NPI number1770784688

StatusActive

Last updated in NPPESJul 18, 2007

Details

NPI: 1770784688
Entity type: Organization (NPI-2)
Legal business name: Angelcity Corporation
Organization subpart: No
Enumeration date: May 29, 2007
Last updated: Jul 18, 2007

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QP2000X	Clinic/Center, Physical Therapy	5188562	TN	Yes
310400000X	Assisted Living Facility	5188562	TN
3104A0625X	Assisted Living Facility, Assisted Living, Mental Illness	5188562	TN
320700000X	Residential Treatment Facility, Physical Disabilities	5188562	TN
3104A0630X	Assisted Living Facility, Assisted Living, Behavioral Disturbances	5188562	TN
313M00000X	Nursing Facility/Intermediate Care Facility	5188562	TN
311500000X	Alzheimer Center (Dementia Center)	5188562	TN
311Z00000X	Custodial Care Facility	1770784688	TN

Practice location

3385 Airways Blvd
Suite 119
Memphis, TN 38116-3841

Phone 901-395-0199

Mailing address

3385 Airways Blvd
Suite 119
Memphis, TN 38116-3841

Phone 901-395-0199

Authorized official

Ralph E Monroe
President & Ceo
9013950199

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