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State Of Tennessee
Intellectual Disabilities Intermediate Care Facility in Greeneville, Tennessee
NPI 1285905976

State Of Tennessee is a Intellectual Disabilities Intermediate Care Facility based in Nashville, TN. State Of Tennessee practices in Greeneville, TN. The NPI Number for State Of Tennessee is 1285905976 and holds a License No. (Tennessee).

The current practice location address for State Of Tennessee is 2105 Susong Rd, Greeneville, TN and can be reached out via phone at 423-787-0659.

Location: 2105 Susong Rd, Greeneville, TN, 37238-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285905976
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
2105 Susong Rd, Greeneville, TN, 37238-3000
Phone Number
423-787-0659
Fax Number
Provider Enumeration Date
01/26/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7447172 05 TN
institution
Provider Business Practice Location Address Details
Address
2105 Susong Rd
City
Greeneville
State
Tennessee
Zip
37743-4944
Phone Number
423-787-0659
Fax Number
person
Provider Business Mailing Address Details
Address
2105 Susong Rd
City
Greeneville
State
Tennessee
Zip
37743-4944
Phone Number
423-787-0659
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
I000000010131 (Tennessee)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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