| Promise Land Enterprise Llc | |
|
3800 Belleau St Memphis TN 38127-4422 | |
| (559) 977-7971 | |
| Not Available |
| Full Name | Promise Land Enterprise Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3800 Belleau St, Memphis, Tennessee |
| Authorized Official Name and Position | Zebrina Graves (DIRECTOR) |
| Authorized Official Contact | 5599777971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promise Land Enterprise Llc 5639 Oak Bend Dr Las Vegas NV 89135-1228 Ph: (559) 977-7971 | Promise Land Enterprise Llc 3800 Belleau St Memphis TN 38127-4422 Ph: (559) 977-7971 |
| NPI Number | 1922710474 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922710474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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