Customized Medical Needs Valid NPI
Organization · Point of Service · Memphis, TN
- NPI
- 1679994198
- Type
- Organization (Type 2)
- Primary specialty
- Point of Service
- Specialty group
- Managed Care Organizations
- Taxonomy code
- 305S00000X
- License number
- 6151932 (TN)
- Enumerated
- 2013-12-31
- Last updated
- 2013-12-31
Practice location
8295 Tournament Dr, Ste 2
Memphis, TN 38125-8906
(866) 563-7772