Organization · Type 2 NPI

West TN Developmental Services

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jackson, TN

NPI number 1487488128 Active

Practice location

131 Tucker St Ste 11
Jackson, TN 38301-4055

Call (731) 217-6103 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1487488128

West TN Developmental Services's National Provider Identifier is 1487488128, issued on Aug 27, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jackson, TN. The record was last updated on Aug 27, 2024.