Provider Demographics
NPI:1780080697
Name:AT YOUR BEST HEALTH CARE
Entity type:Organization
Organization Name:AT YOUR BEST HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NITA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:NCMA
Authorized Official - Phone:901-401-0344
Mailing Address - Street 1:315 LEMA PL
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-3203
Mailing Address - Country:US
Mailing Address - Phone:901-401-0344
Mailing Address - Fax:901-396-4668
Practice Address - Street 1:4506 MILL STREAM DR
Practice Address - Street 2:#3
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-7434
Practice Address - Country:US
Practice Address - Phone:901-401-0344
Practice Address - Fax:901-396-4668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN855244253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN855244OtherNATIONAL CENTER FOR COMPETENCY TESTING