State of Tennessee
NPI #1871997163 in Greeneville, Tennessee
Provider Information
- NPI Number
- 1871997163
- Entity Type
- Organization
- Organization Name
- State of Tennessee
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Oct 15, 2014
- Last Updated
- Oct 15, 2014
Practice Location
- Address
- 803 REDBUD DR
- City
- Greeneville
- State
- Tennessee
- ZIP Code
- 37743-6141
- Phone
- (423) 525-5299
Authorized Official
- Name
- MARGI E STORY
- Title
- DIRECTOR
- Phone
- (423) 787-6481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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