State of Tennessee
NPI #1023412020 in Greeneville, Tennessee
Provider Information
- NPI Number
- 1023412020
- Entity Type
- Organization
- Organization Name
- State of Tennessee
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Oct 20, 2014
- Last Updated
- Oct 20, 2014
Practice Location
- Address
- 2324 ASHEVILLE HIGHWAY
- City
- Greeneville
- State
- Tennessee
- ZIP Code
- 37743
- Phone
- (423) 588-5408
Authorized Official
- Name
- MRS. MARGI E STORY
- Title
- DIRECTOR
- Phone
- (423) 787-6481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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