STATE OF TENNESSEE

Intermediate Care Facility, Intellectual Disabilities

Active Organization
NPI: 1467760876

Practice Address

855 MEADOWBROOK RD
Afton, TN 37616

Phone: (423) 787-6757

Specialties

Specialty Code Primary License
Intermediate Care Facility, Intellectual Disabilities 315P00000X Yes -

Frequently Asked Questions

NPI 1467760876 is the National Provider Identifier for STATE OF TENNESSEE, a Intermediate Care Facility, Intellectual Disabilities provider located in Afton, TN. This NPI was enumerated on September 20, 2010.

Quick Facts

NPI
1467760876
Type
Organization
Enumerated
Sep 20, 2010
Last Updated
Jun 9, 2011

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