Organization · Type 2 NPI
Orange Grove Center, Inc
Intellectual Disabilities Intermediate Care Facility · Hixson, TN
NPI number
1114137791
Active
Practice location
87 Dowlen Rd
Hixson, TN 37343-2770
Fax (423) 624-1294
Mailing address
615 Derby St
Chattanooga, TN 37404-1632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 32309631540 (TN) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1114137791
Orange Grove Center, Inc's National Provider Identifier is 1114137791, issued on May 23, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Hixson, TN. The record was last updated on Mar 4, 2024.