| Organization Name: | MEMPHIS CENTER FOR INDEPENDENT LIVING |
| NPI Number: | 1396973186 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH CUNNINGHAM (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1633 Madison Ave Memphis |
| State: | TN US |
| Postal Code: | 381042506 |
| Phone Number: | 9017266404 |
| Fax Number: | 9017266521 |
| NPI Enumeration Date: | 06/30/2009 |
| NPI Last Update Date: | 06/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 1000000004198 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |