Individual provider · Type 1 NPI
Betty Jean Wells, OTR
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Mosheim, TN
Practice location
7040 Blue Springs Pkwy, C-13
Mosheim, TN 37818-3767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 1972 (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 1376752154
Betty Jean Wells, OTR's National Provider Identifier is 1376752154, issued on May 21, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Mosheim, TN. The record was last updated on Jul 8, 2007.