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State Of Tennessee
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arlington, Tennessee
NPI 1023151354

State Of Tennessee is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Arlington, TN. State Of Tennessee practices in Arlington, TN. The NPI Number for State Of Tennessee is 1023151354 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 11293 Memphis Arlington Rd, Arlington, TN and can be reached out via phone at 901-745-7350 and via fax at 901-745-7433. You can also correspond with State Of Tennessee through the mailing address at PO BOX 586, ARLINGTON, TN - 38002-0586 (mailing address contact number: 901-745-7350).

Location: 11293 Memphis Arlington Rd, Arlington, TN, 38002-0586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023151354
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
11293 Memphis Arlington Rd, Arlington, TN, 38002-0586
Phone Number
901-745-7350
Fax Number
901-745-7433
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
744-7004 01 TN TENNCARE
7447006 05 TN
744-7006 01 TN TENNCARE
7447004 05 TN
institution
Provider Business Practice Location Address Details
Address
11293 Memphis Arlington Rd
City
Arlington
State
Tennessee
Zip
38002-7978
Phone Number
901-745-7350
Fax Number
901-745-7433
person
Provider Business Mailing Address Details
Address
11293 Memphis Arlington Rd
City
Arlington
State
Tennessee
Zip
38002-7978
Phone Number
901-745-7350
Fax Number
901-745-7433
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(Tennessee)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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