Provider Demographics
NPI:1013183003
Name:PERSONAL CAREALL
Entity Type:Organization
Organization Name:PERSONAL CAREALL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WALLACE
Authorized Official - Last Name:AKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-216-7804
Mailing Address - Street 1:8875 GRAND SLAM DR APT 201
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-2580
Mailing Address - Country:US
Mailing Address - Phone:901-216-7804
Mailing Address - Fax:901-547-9827
Practice Address - Street 1:3959 SCHROCK DRIVE
Practice Address - Street 2:
Practice Address - City:LAKE PROVIDENCE
Practice Address - State:LA
Practice Address - Zip Code:71254
Practice Address - Country:US
Practice Address - Phone:901-216-7804
Practice Address - Fax:901-547-9827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based