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Contact Information

COLETTA R AVERY
6012 TALL WILLOW DR
MEMPHIS, TN38141-7628
 Phone: 901-649-9598
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for

NPI # 1306724919
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/22/2025
Last updated 08/22/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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