Organization · Type 2 NPI

State of TN

Intellectual Disabilities Intermediate Care Facility · Chuckey, TN

NPI number 1982999769 Active

Practice location

744 Stone Dam Rd
Chuckey, TN 37641-4907

Call (423) 786-6757 Map

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 1982999769

State of TN's National Provider Identifier is 1982999769, issued on Jun 9, 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 9, 2011.