Organization · Type 2 NPI

Mid South Residential Care Center

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

NPI number 1265737795 Active

Practice location

1137 Breedlove St
Memphis, TN 38107-2101

Call (901) 314-0146 Map

Mailing address

P.o. Box 280422
Memphis, TN 38107

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XI000000007899 (TN)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1265737795

Mid South Residential Care Center's National Provider Identifier is 1265737795, issued on Jan 13, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Memphis, TN. The record was last updated on Jan 13, 2011.