Organization · Type 2 NPI
Michael Dunn Center
Intellectual Disabilities Intermediate Care Facility · Kingston, TN
NPI number
1003950692
Active
Practice location
106 Village Trce
Kingston, TN 37763-7066
Fax (865) 717-4858
Mailing address
629 Gallaher Rd
Kingston, TN 37763-4215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | L 323-056-1347 (TN) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Kingston
About NPI 1003950692
Michael Dunn Center's National Provider Identifier is 1003950692, issued on Feb 16, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Kingston, TN. The record was last updated on Oct 27, 2011.