OrganizationActive
Well Child Inc.
NPI 1073703591 · Pediatric Skilled Nursing Facility · Memphis, TN
Provider details
- NPI number
- 1073703591
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Well Child Inc.
- Organization subpart
- Yes
- Authorized official
- Mallory Wilbon, Nurse Practioner(901) 728-5858
- License
- 10556 (TN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2158 Union Ave Ste 100
Memphis, TN 38104-4297
Phone: (901) 728-5858
Fax: (901) 274-5858
Approximate (ZIP-level) locationGet directions
Mailing address
2158 Union Ave Ste 100
Memphis, TN 38104-4297
Registry dates
- Enumerated
- 2007-07-31
- Last updated
- 2007-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.