Organization · Type 2 NPI
State of Tennessee
Intellectual Disabilities Intermediate Care Facility · Afton, TN
NPI number
1467760876
Active
Practice location
855 Meadowbrook Rd
Afton, TN 37616-6047
Fax (423) 798-6253
Mailing address
190 Serral Dr
Greeneville, TN 37745-3074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Afton
About NPI 1467760876
State of Tennessee's National Provider Identifier is 1467760876, issued on Sep 20, 2010. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Afton, TN. The record was last updated on Jun 9, 2011.