OrganizationActive
Minnola Residential Care Services,llc
NPI 1417308172 · Nursing Care Agency · Memphis, TN
Provider details
- NPI number
- 1417308172
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Terethra Harris, Owner/Director(901) 857-6635
- License
- 1000000018260 (TN)
Specialties & taxonomies
Agencies
Practice location
4264 Genyth Ave
Memphis, TN 38128-3212
Phone: (901) 857-6635
Approximate (ZIP-level) locationGet directions
Mailing address
4264 Genyth Ave
Memphis, TN 38128-3212
Registry dates
- Enumerated
- 2016-06-23
- Last updated
- 2016-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.