MID SOUTH SUPPORTIVE LIVING, LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · MEMPHIS, TN

Organization Active NPI 1679604458

Taxonomy & licensure

Specialty	Code	Primary	License	State
Intellectual and/or Developmental Disabilities Residential Treatment Facility	320600000X	✓	L 3(20)M2-046-6201	TN

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.