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State Of Tn
Intellectual Disabilities Intermediate Care Facility in Chuckey, Tennessee
NPI 1326334905

State Of Tn is a Intellectual Disabilities Intermediate Care Facility based in Greeneville, TN. State Of Tn practices in Chuckey, TN. The NPI Number for State Of Tn is 1326334905 and holds a License No. (Tennessee).

The current practice location address for State Of Tn is 3960 Chuckey Pike, Chuckey, TN and can be reached out via phone at 423-787-6757 and via fax at 423-798-6253.

Location: 3960 Chuckey Pike, Chuckey, TN, 37745-3074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326334905
Provider Name
State Of Tn
Credential
Provider Entity Type
Organization
Address
3960 Chuckey Pike, Chuckey, TN, 37745-3074
Phone Number
423-787-6757
Fax Number
423-798-6253
Provider Enumeration Date
06/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7447147 05 TN
institution
Provider Business Practice Location Address Details
Address
3960 Chuckey Pike
City
Chuckey
State
Tennessee
Zip
37641-6202
Phone Number
423-787-6757
Fax Number
423-798-6253
person
Provider Business Mailing Address Details
Address
3960 Chuckey Pike
City
Chuckey
State
Tennessee
Zip
37641-6202
Phone Number
423-787-6757
Fax Number
423-798-6253
person
Provider's Taxonomy Details 1
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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