STATE OF TENNESSEE

Intermediate Care Facility, Intellectual Disabilities

Active Organization
NPI: 1639443419

Practice Address

2499 BUCKINGHAM RD.
Greeneville, TN 37745

Phone: (423) 787-0861

Specialties

Specialty Code Primary License
Intermediate Care Facility, Intellectual Disabilities 315P00000X Yes I000000010291 (TN)

Frequently Asked Questions

NPI 1639443419 is the National Provider Identifier for STATE OF TENNESSEE, a Intermediate Care Facility, Intellectual Disabilities provider located in Greeneville, TN. This NPI was enumerated on February 27, 2012.

Quick Facts

NPI
1639443419
Type
Organization
Enumerated
Feb 27, 2012
Last Updated
Feb 27, 2012

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