Organization · Type 2 NPI
Orange Grove Center, Inc
Intellectual Disabilities Intermediate Care Facility · Hixson, TN
NPI number
1629287073
Active
Practice location
4403 Comet Trl
Hixson, TN 37343-4313
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 | 3230961537 (TN) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1629287073
Orange Grove Center, Inc's National Provider Identifier is 1629287073, issued on May 22, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Hixson, TN. The record was last updated on Aug 22, 2020.