Earhart 1

NPI #1427488154 in Nashville, Tennessee

Provider Information

NPI Number
1427488154
Entity Type
Organization
Organization Name
Earhart 1
Subpart
Yes (part of a larger organization)
Parent Organization
CLOVER BOTTOM DEVELOPMENTAL CENTER
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Nov 15, 2013
Last Updated
Nov 15, 2013

Practice Location

Address
3156 EARHART RD
ZIP Code
37076
Phone
(615) 231-5000

Authorized Official

Name
DR. STACEY LYNN DIXON, PH.D.
Title
CHIEF OFFICER
Phone
(615) 231-5383

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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