Provider Demographics
NPI:1609233865
Name:APELAH
Entity Type:Organization
Organization Name:APELAH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MHA
Authorized Official - Phone:901-766-0600
Mailing Address - Street 1:4700 POPLAR AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-4496
Mailing Address - Country:US
Mailing Address - Phone:901-766-0600
Mailing Address - Fax:901-766-0688
Practice Address - Street 1:2022 OAK TREE CV
Practice Address - Street 2:
Practice Address - City:HERNANDO
Practice Address - State:MS
Practice Address - Zip Code:38632-1199
Practice Address - Country:US
Practice Address - Phone:662-429-3652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERITAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251V00000X, 253Z00000X
MS120-96-4941253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251V00000XAgenciesVoluntary or Charitable
No253J00000XAgenciesFoster Care Agency