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State Of Tennessee, Greene Valley Developmental Center
Intellectual Disabilities Intermediate Care Facility in Greeneville, Tennessee
NPI 1447399837

State Of Tennessee, Greene Valley Developmental Center is a Intellectual Disabilities Intermediate Care Facility based in Greeneville, TN. State Of Tennessee, Greene Valley Developmental Center practices in Greeneville, TN. The NPI Number for State Of Tennessee, Greene Valley Developmental Center is 1447399837 and holds a License No. L 323-106-1620 (Tennessee).

The current practice location address for State Of Tennessee, Greene Valley Developmental Center is 4850 E Andrew Johnson Hwy, Greeneville, TN and can be reached out via phone at 423-787-6800 and via fax at 423-787-6975.

Location: 4850 E Andrew Johnson Hwy, Greeneville, TN, 37744-0910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447399837
Provider Name
State Of Tennessee, Greene Valley Developmental Center
Credential
Provider Entity Type
Organization
Address
4850 E Andrew Johnson Hwy, Greeneville, TN, 37744-0910
Phone Number
423-787-6800
Fax Number
423-787-6975
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
744-7014 05 TN
institution
Provider Business Practice Location Address Details
Address
4850 E Andrew Johnson Hwy
City
Greeneville
State
Tennessee
Zip
37745-3098
Phone Number
423-787-6800
Fax Number
423-787-6975
person
Provider Business Mailing Address Details
Address
4850 E Andrew Johnson Hwy
City
Greeneville
State
Tennessee
Zip
37745-3098
Phone Number
423-787-6800
Fax Number
423-787-6975
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
L 323-106-1620 (Tennessee)
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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