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Ellis Family Id Services Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryville, Tennessee
NPI 1134825151

Ellis Family Id Services Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Maryville, TN. Ellis Family Id Services Inc. practices in Maryville, TN. The NPI Number for Ellis Family Id Services Inc. is 1134825151 and holds a License No. (Tennessee).

The current practice location address for Ellis Family Id Services Inc. is 3925 Poplar Grove Rd, Maryville, TN and can be reached out via phone at 865-724-7208.

Location: 3925 Poplar Grove Rd, Maryville, TN, 37804-4701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134825151
Provider Name
Ellis Family Id Services Inc.
Credential
Provider Entity Type
Organization
Address
3925 Poplar Grove Rd, Maryville, TN, 37804-4701
Phone Number
865-724-7208
Fax Number
Provider Enumeration Date
02/01/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3925 Poplar Grove Rd
City
Maryville
State
Tennessee
Zip
37804-4701
Phone Number
865-724-7208
Fax Number
person
Provider Business Mailing Address Details
Address
3925 Poplar Grove Rd
City
Maryville
State
Tennessee
Zip
37804-4701
Phone Number
865-724-7208
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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