Organization · Type 2 NPI

Orange Grove Center, Inc 5345 Mountain Creek

Intellectual Disabilities Intermediate Care Facility · Chattanooga, TN

NPI number 1770836330 Active

Practice location

615 Derby St
Chattanooga, TN 37404-1632

Call (423) 629-1451 Map

Fax (423) 624-1294

Mailing address

5345 Mountain Creek Rd
Chattanooga, TN 37415

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XAPPLYING FOR-NEW (TN)

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

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About NPI 1770836330

Orange Grove Center, Inc 5345 Mountain Creek's National Provider Identifier is 1770836330, issued on Oct 19, 2012. 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.