Organization · Type 2 NPI
State of TN
Intellectual Disabilities Intermediate Care Facility · Chuckey, TN
NPI number
1982999777
Active
Practice location
143 Delzie Randolph Rd
Chuckey, TN 37641-6247
Fax (423) 798-6253
Mailing address
190 Serral Dr
Greeneville, TN 37745-3074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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- State of TNIntellectual Disabilities Intermediate Care Facility Chuckey, TN NPI 1881980464
- State of TNIntellectual Disabilities Intermediate Care Facility Chuckey, TN NPI 1982999769
About NPI 1982999777
State of TN's National Provider Identifier is 1982999777, 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.