Provider Demographics
NPI:1508288663
Name:INDEPENDENT ALLY HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:INDEPENDENT ALLY HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LEKENYA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-531-0372
Mailing Address - Street 1:4466 ELVIS PRESLEY BLVD
Mailing Address - Street 2:117
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-7180
Mailing Address - Country:US
Mailing Address - Phone:901-531-0372
Mailing Address - Fax:
Practice Address - Street 1:4466 ELVIS PRESLEY BLVD
Practice Address - Street 2:117
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-7180
Practice Address - Country:US
Practice Address - Phone:901-531-0372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-09
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health