Organization · Type 2 NPI

State of Tennessee

Intellectual Disabilities Intermediate Care Facility · Greeneville, TN

NPI number 1528339157 Active

Practice location

633 Amity Rd
Greeneville, TN 37743-7922

Call (423) 787-0242 Map

Mailing address

190 Serral Dr
Greeneville, TN 37745-3074

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XI000000010132 (TN)

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

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About NPI 1528339157

State of Tennessee's National Provider Identifier is 1528339157, issued on Jan 12, 2012. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Greeneville, TN. The record was last updated on Jan 12, 2012.