Provider Demographics
NPI:1184313058
Name:NERCHER OLDER ADULT COMMUNITY RESOURCE
Entity type:Organization
Organization Name:NERCHER OLDER ADULT COMMUNITY RESOURCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CDP
Authorized Official - Phone:901-297-6579
Mailing Address - Street 1:PO BOX 351
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:TN
Mailing Address - Zip Code:38014-0351
Mailing Address - Country:US
Mailing Address - Phone:901-297-6579
Mailing Address - Fax:
Practice Address - Street 1:1661 INTERNATIONAL DR STE 400
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-1431
Practice Address - Country:US
Practice Address - Phone:901-297-6579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Single Specialty