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Enhanced Support Services
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Johnson City, Tennessee
NPI 1093231722

Enhanced Support Services is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Jonesborough, TN. Enhanced Support Services practices in Johnson City, TN. The NPI Number for Enhanced Support Services is 1093231722 and holds a License No. 14965 (Tennessee).

The current practice location address for Enhanced Support Services is 2882 Boones Creek Rd, Johnson City, TN and can be reached out via phone at 423-631-0336 and via fax at 423-631-0339. You can also correspond with Enhanced Support Services through the mailing address at 157 RUBY R CT, JONESBOROUGH, TN - 37659-4655 (mailing address contact number: 423-631-0336).

Location: 2882 Boones Creek Rd, Johnson City, TN, 37659-4655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093231722
Provider Name
Enhanced Support Services
Credential
Provider Entity Type
Organization
Address
2882 Boones Creek Rd, Johnson City, TN, 37659-4655
Phone Number
423-631-0336
Fax Number
423-631-0339
Provider Enumeration Date
08/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2882 Boones Creek Rd
City
Johnson City
State
Tennessee
Zip
37615-4655
Phone Number
423-631-0336
Fax Number
423-631-0339
person
Provider Business Mailing Address Details
Address
2882 Boones Creek Rd
City
Johnson City
State
Tennessee
Zip
37615-4655
Phone Number
423-631-0336
Fax Number
423-631-0339
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
14965 (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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