State of Tennessee

NPI #1023151354 in Arlington, Tennessee

Provider Information

NPI Number: 1023151354
Entity Type: Organization
Organization Name: State of Tennessee
Subpart: Yes (part of a larger organization)
Parent Organization: STATE OF TENNESSEE DBA ARLINGTON DEVELOPMENTAL CENTER
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 15, 2007
Last Updated: Jul 30, 2008

Practice Location

Address: 11293 MEMPHIS ARLINGTON RD
City: Arlington
State: Tennessee
ZIP Code: 38002-7978
Phone: (901) 745-7350

Authorized Official

Name: MR. JOHN M. HASTINGS
Title: ACCOUNTANT 3
Phone: (901) 745-7350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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