Organization · Type 2 NPI

State of TN

Intellectual Disabilities Intermediate Care Facility · Chuckey, TN

NPI number 1881980464 Active

Practice location

590 Stone Dam Rd
Chuckey, TN 37641-4905

Fax (423) 798-6253

Mailing address

190 Serral Dr
Greeneville, TN 37745-3074

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

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

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About NPI 1881980464

State of TN's National Provider Identifier is 1881980464, issued on Jun 22, 2011. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Chuckey, TN. The record was last updated on Jun 22, 2011.