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Evergreen Presbyterian Ministries Of East Tn
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Knoxville, Tennessee
NPI 1508984972

Evergreen Presbyterian Ministries Of East Tn is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Haughton, TN. Evergreen Presbyterian Ministries Of East Tn practices in Knoxville, TN. The NPI Number for Evergreen Presbyterian Ministries Of East Tn is 1508984972 and holds a License No. (Tennessee).

The current practice location address for Evergreen Presbyterian Ministries Of East Tn is 1304 Wilson Rd, Knoxville, TN and can be reached out via phone at 865-689-4022 and via fax at 865-689-4054.

Location: 1304 Wilson Rd, Knoxville, TN, 71037-9488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508984972
Provider Name
Evergreen Presbyterian Ministries Of East Tn
Credential
Provider Entity Type
Organization
Address
1304 Wilson Rd, Knoxville, TN, 71037-9488
Phone Number
865-689-4022
Fax Number
865-689-4054
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00678 05 TN
institution
Provider Business Practice Location Address Details
Address
1304 Wilson Rd
City
Knoxville
State
Tennessee
Zip
37912-5693
Phone Number
865-689-4022
Fax Number
865-689-4054
person
Provider Business Mailing Address Details
Address
1304 Wilson Rd
City
Knoxville
State
Tennessee
Zip
37912-5693
Phone Number
865-689-4022
Fax Number
865-689-4054
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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