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Jeremy O'brien Beard
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jackson, Tennessee
NPI 1033827852

Jeremy O'brien Beard is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jackson, TN. Jeremy O'brien Beard practices in Jackson, TN. The NPI Number for Jeremy O'brien Beard is 1033827852 and holds a License No. (Tennessee).

The current practice location address for Jeremy O'brien Beard is 131 Tucker St # 11, Jackson, TN and can be reached out via phone at 731-217-6103.

Location: 131 Tucker St # 11, Jackson, TN, 38301-4055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033827852
Provider Name
Jeremy O'brien Beard
Credential
Provider Entity Type
Individual
Gender
Male
Address
131 Tucker St # 11, Jackson, TN, 38301-4055
Phone Number
731-217-6103
Fax Number
Provider Enumeration Date
11/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
131 Tucker St # 11
City
Jackson
State
Tennessee
Zip
38301-4055
Phone Number
731-217-6103
Fax Number
person
Provider Business Mailing Address Details
Address
131 Tucker St # 11
City
Jackson
State
Tennessee
Zip
38301-4055
Phone Number
731-217-6103
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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