Individual provider · Type 1 NPI
Donna L. Wade
Assisted Living Facility (Mental Illness) · Jackson, TN
Practice location
620 Old Hickory Blvd Ste 410D
Jackson, TN 38305-2904
Mailing address
106 Landmark Loop
Jackson, TN 38305-2133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | 1000000038962 (TN) |
Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Another provider at this address
About NPI 1245103431
Donna L. Wade's National Provider Identifier is 1245103431, issued on Sep 25, 2025. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Jackson, TN. The record was last updated on Sep 25, 2025.