Individual provider · Type 1 NPI
Jeremy O'Brien Beard
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jackson, TN
Practice location
131 Tucker St # 11
Jackson, TN 38301-4055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Jackson
About NPI 1033827852
Jeremy O'Brien Beard's National Provider Identifier is 1033827852, issued on Nov 10, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jackson, TN. The record was last updated on Nov 10, 2022.