| Dandelion Diversified Care | |
|
8295 Tournament Dr Memphis TN 38125-8906 | |
| (469) 406-8797 | |
| Not Available |
| Full Name | Dandelion Diversified Care |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 8295 Tournament Dr, Memphis, Tennessee |
| Authorized Official Name and Position | Emma Jean Coleman (REGISTERED NURSE) |
| Authorized Official Contact | 4694068797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dandelion Diversified Care 8295 Tournament Dr Memphis TN 38125-8906 Ph: (469) 406-8797 | Dandelion Diversified Care 8295 Tournament Dr Memphis TN 38125-8906 Ph: (469) 406-8797 |
| NPI Number | 1164803623 |
|---|---|
| Provider Enumeration Date | 06/10/2015 |
| Last Update Date | 01/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164803623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | RN000068705 (Tennessee) | Primary |
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