State of Tennessee

NPI #1285905976 in Greeneville, Tennessee

Provider Information

NPI Number
1285905976
Entity Type
Organization
Organization Name
State of Tennessee
Primary Specialty
Home Health
Enumeration Date
Jan 26, 2012
Last Updated
Jul 5, 2023

Practice Location

Address
2105 SUSONG RD
ZIP Code
37743-4944
Phone
(423) 787-0659

Authorized Official

Name
DAVID COMM
Title
DIRECTOR OF BUSINESS SERVICES
Phone
(629) 267-8103

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities
Home Health

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