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State Of Tennessee
Intellectual Disabilities Intermediate Care Facility in Greeneville, Tennessee
NPI 1528339157

State Of Tennessee is a Intellectual Disabilities Intermediate Care Facility based in Greeneville, TN. State Of Tennessee practices in Greeneville, TN. The NPI Number for State Of Tennessee is 1528339157 and holds a License No. I000000010132 (Tennessee).

The current practice location address for State Of Tennessee is 633 Amity Rd, Greeneville, TN and can be reached out via phone at 423-787-0242.

Location: 633 Amity Rd, Greeneville, TN, 37745-3074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528339157
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
633 Amity Rd, Greeneville, TN, 37745-3074
Phone Number
423-787-0242
Fax Number
Provider Enumeration Date
01/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 TN
institution
Provider Business Practice Location Address Details
Address
633 Amity Rd
City
Greeneville
State
Tennessee
Zip
37743-7922
Phone Number
423-787-0242
Fax Number
person
Provider Business Mailing Address Details
Address
633 Amity Rd
City
Greeneville
State
Tennessee
Zip
37743-7922
Phone Number
423-787-0242
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
I000000010132 (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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