21st Century Living Services, INC

NPI #1376051763 in Gallatin, Tennessee

Provider Information

NPI Number: 1376051763
Entity Type: Organization
Organization Name: 21st Century Living Services, INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 19, 2018
Last Updated: Mar 17, 2018

Practice Location

Address: 575 AIRPORT RD
City: Gallatin
State: Tennessee
ZIP Code: 37066-4901
Phone: (615) 452-9766

Authorized Official

Name: MR. JOHN BIRDWELL
Title: PRESIDENT
Phone: (615) 452-9766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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