Organization · Type 2 NPI

State of TN

Intellectual Disabilities Intermediate Care Facility · Chuckey, TN

NPI number 1326334905 Active

Practice location

3960 Chuckey Pike
Chuckey, TN 37641-6202

Call (423) 787-6757 Map

Fax (423) 798-6253

Mailing address

190 Serral Dr
Greeneville, TN 37745-3074

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1326334905

State of TN's National Provider Identifier is 1326334905, issued on Jun 22, 2011. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Chuckey, TN. The record was last updated on Jun 22, 2011.