OrganizationActive
Functional Independence,inc.
NPI 1811089824 · Developmentally Disabled Services Day Training Agency · Memphis, TN
Provider details
- NPI number
- 1811089824
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Julie Boles, Ceo(901) 546-7660
- License
- 0000000610 (TN)
Specialties & taxonomies
Agencies
Practice location
2502 Mount Moriah Rd Ste A-148
Memphis, TN 38115-1510
Phone: (901) 546-7660
Fax: (901) 546-7662
Approximate (ZIP-level) locationGet directions
Mailing address
2502 Mount Moriah Rd Ste A-148
Memphis, TN 38115-1510
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.