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State Of Tennessee
Intellectual Disabilities Intermediate Care Facility in Greeneville, Tennessee
NPI 1023412020

State Of Tennessee is a Intellectual Disabilities Intermediate Care Facility based in Greeneville, TN. State Of Tennessee practices in Greeneville, TN. The NPI Number for State Of Tennessee is 1023412020 and holds a License No. I000000013270 (Tennessee).

The current practice location address for State Of Tennessee is 2324 Asheville Highway, Greeneville, TN and can be reached out via phone at 423-588-5408 and via fax at 423-787-6465.

Location: 2324 Asheville Highway, Greeneville, TN, 37744-0309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023412020
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
2324 Asheville Highway, Greeneville, TN, 37744-0309
Phone Number
423-588-5408
Fax Number
423-787-6465
Provider Enumeration Date
10/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
I000000013270 01 TN TN LICENSE
315P00000X 01 TN TAXONOMY
institution
Provider Business Practice Location Address Details
Address
2324 Asheville Highway
City
Greeneville
State
Tennessee
Zip
37743
Phone Number
423-588-5408
Fax Number
423-787-6465
person
Provider Business Mailing Address Details
Address
2324 Asheville Highway
City
Greeneville
State
Tennessee
Zip
37743
Phone Number
423-588-5408
Fax Number
423-787-6465
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
I000000013270 (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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