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Michael Dunn Center
Intellectual Disabilities Intermediate Care Facility in Kingston, Tennessee
NPI 1003950692

Michael Dunn Center is a Intellectual Disabilities Intermediate Care Facility based in Kingston, TN. Michael Dunn Center practices in Kingston, TN. The NPI Number for Michael Dunn Center is 1003950692 and holds a License No. L 323-056-1347 (Tennessee).

The current practice location address for Michael Dunn Center is 106 Village Trce, Kingston, TN and can be reached out via phone at 865-376-3416 and via fax at 865-717-4858.

Location: 106 Village Trce, Kingston, TN, 37763-4215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003950692
Provider Name
Michael Dunn Center
Credential
Provider Entity Type
Organization
Address
106 Village Trce, Kingston, TN, 37763-4215
Phone Number
865-376-3416
Fax Number
865-717-4858
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7447111 05 TN
institution
Provider Business Practice Location Address Details
Address
106 Village Trce
City
Kingston
State
Tennessee
Zip
37763-7066
Phone Number
865-376-3416
Fax Number
865-717-4858
person
Provider Business Mailing Address Details
Address
106 Village Trce
City
Kingston
State
Tennessee
Zip
37763-7066
Phone Number
865-376-3416
Fax Number
865-717-4858
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
L 323-056-1347 (Tennessee)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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