Organization · Type 2 NPI
My Holistic Life, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Collierville, TN
Practice location
10454 Juneau Way
Collierville, TN 38017-1968
Fax (901) 284-0008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1366051823
My Holistic Life, LLC's National Provider Identifier is 1366051823, issued on Jul 30, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Collierville, TN. The record was last updated on Jul 30, 2020.