Organization · NPI-2

Changing Minds INC

Custodial Care Facility, Adult Care Home · Memphis, TN

NPI number1861139370
StatusActive
Last updated in NPPESMay 16, 2022

Details

NPI
1861139370
Entity type
Organization (NPI-2)
Legal business name
Changing Minds INC
Organization subpart
No
Enumeration date
May 16, 2022
Certification date
May 16, 2022
Last updated
May 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home––Yes
251T00000X PACE Provider Organization––
310500000X Intermediate Care Facility, Mental Illness––

Practice location

2333 Cliffdale Cv
Memphis, TN 38127-3514

Phone 901-281-3425

Mailing address

5417 Eagle Bead Cv
Memphis, TN 38125-4305

Phone 901-281-3425

Authorized official

Tara Brooks
Ceo
9012813425

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