| J & J Habilitation Services | |
|
4646 Poplar Ave Ste 440 Memphis TN 38117-4434 | |
| (786) 569-7649 | |
| Not Available |
| Full Name | J & J Habilitation Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4646 Poplar Ave Ste 440, Memphis, Tennessee |
| Authorized Official Name and Position | Elizabeth Wallace (CEO) |
| Authorized Official Contact | 7865697649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J & J Habilitation Services 934 Davis Pkwy Apt 24 Florida City FL 33034-3180 Ph: (786) 569-7649 | J & J Habilitation Services 4646 Poplar Ave Ste 440 Memphis TN 38117-4434 Ph: (786) 569-7649 |
| NPI Number | 1427670744 |
|---|---|
| Provider Enumeration Date | 05/08/2020 |
| Last Update Date | 01/06/2021 |
| Certification Date | 01/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427670744 | NPI | - | NPPES |
| Q061184 | Medicaid | TN |
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