Manna Food 4 Life

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

115004719 Issued in TN

Legal business name

MANNA FOOD 4 LIFE

Practice address

860 Tatum Rd
Memphis, TN 38122-2543

Phone

(901) 215-5294

Fax

(901) 454-1442

NPI assigned

Apr 29, 2016

Last updated

Apr 29, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Orlenda T Williams

Title

Owner

Phone

(901) 215-5294

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1346695194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 TATUM RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381222543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 TATUM RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381222543",
            "telephone_number": "901-215-5294",
            "fax_number": "901-454-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA FOOD 4 LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ORLENDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-215-5294",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TN",
            "license": "115004719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen L Manley, OTRL,CHT
• Clarence Mann
• Elizabeth K Mann, MD
• Fiona Mhari Mann, LPC-MHSP
• Kinlee Ann Mann
• Ghalib Mannan, M.D.
• Hannah Lynn Manning, PA-C
• Jordan Manning, PA-C
• Lauren Manning
• Weber Winston Manning, DDS

• Mental Illness Community Based Residential Treatment Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Illness Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.