State of Tennessee, Greene Valley Developmental Center
NPI #1447399837 in Greeneville, Tennessee
Provider Information
- NPI Number
- 1447399837
- Entity Type
- Organization
- Organization Name
- State of Tennessee, Greene Valley Developmental Center
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Jun 30, 2008
Practice Location
- Address
- 4850 E ANDREW JOHNSON HWY
- City
- Greeneville
- State
- Tennessee
- ZIP Code
- 37745-3098
- Phone
- (423) 787-6800
Authorized Official
- Name
- MR. STEPHEN C. LOVE
- Title
- ASST. CHIEF OFFICER FOR ADMIN.
- Phone
- (423) 787-6572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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