STATE OF TENNESSEE

Intermediate Care Facility, Intellectual Disabilities

Active Organization
NPI: 1780958454

Practice Address

2497 BUCKINGHAM RD.
Greeneville, TN 37743

Phone: (423) 787-0824

Specialties

Specialty Code Primary License
Intermediate Care Facility, Intellectual Disabilities 315P00000X Yes I000000010290 (TN)

Frequently Asked Questions

NPI 1780958454 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 28, 2012.

Quick Facts

NPI
1780958454
Type
Organization
Enumerated
Feb 28, 2012
Last Updated
Feb 28, 2012

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