Lacy And Bradford Care Facility Valid NPI

Organization · Preferred Provider Organization · Memphis, TN

NPI

1659693471

Type

Organization (Type 2)

Primary specialty

Preferred Provider Organization

Specialty group

Managed Care Organizations

Taxonomy code

305R00000X

License number

L000000005891 (TN)

Enumerated

2010-02-20

Last updated

2010-02-20