Organization · Type 2 NPI
Southeastern Human Services
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Toone, TN
Practice location
1895 Highway 138
Toone, TN 38381-8128
Fax (731) 659-2999
Mailing address
121 Stonebridge Blvd, Suite C
Jackson, TN 38305-2160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | L219-107-6738 (TN) |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | L219-107-6737 (TN) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1275788408
Southeastern Human Services's National Provider Identifier is 1275788408, issued on Dec 2, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Toone, TN. The record was last updated on Dec 2, 2008.