Individual provider · Type 1 NPI
Janice Ballard
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Brownsville, TN
Practice location
55 Kleer Vu Dr
Brownsville, TN 38012-2165
Fax (731) 326-5081
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | L000000020690 (TN) |
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.
Another provider at this address
About NPI 1699449652
Janice Ballard's National Provider Identifier is 1699449652, issued on Aug 3, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Brownsville, TN. The record was last updated on Aug 3, 2021.