Organization · Type 2 NPI
Orange Grove Center, Inc
Intellectual Disabilities Intermediate Care Facility · Chattanooga, TN
NPI number
1487863809
Active
Practice location
1337 Highland Rd
Chattanooga, TN 37415-3319
Fax (423) 624-1294
Mailing address
615 Derby St
Chattanooga, TN 37404-1632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 3230961549 (TN) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1487863809
Orange Grove Center, Inc's National Provider Identifier is 1487863809, issued on May 22, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Chattanooga, TN. The record was last updated on Mar 4, 2024.