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Greene Valley Developmental Center Pharmacy
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greeneville, Tennessee
NPI 1609949007

Greene Valley Developmental Center Pharmacy is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Greeneville, TN. Greene Valley Developmental Center Pharmacy practices in Greeneville, TN. The NPI Number for Greene Valley Developmental Center Pharmacy is 1609949007 and holds a License No. 711 (Tennessee).

The current practice location address for Greene Valley Developmental Center Pharmacy is 4850 E Andrew Johnson Hwy, Greeneville, TN and can be reached out via phone at 423-378-7665 and via fax at 423-787-6776.

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
1609949007
Provider Name
Greene Valley Developmental Center Pharmacy
Credential
Provider Entity Type
Organization
Address
4850 E Andrew Johnson Hwy, Greeneville, TN, 37744-0910
Phone Number
423-378-7665
Fax Number
423-787-6776
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4416067 01 NABP
institution
Provider Business Practice Location Address Details
Address
4850 E Andrew Johnson Hwy
City
Greeneville
State
Tennessee
Zip
37745-3098
Phone Number
423-378-7665
Fax Number
423-787-6776
person
Provider Business Mailing Address Details
Address
4850 E Andrew Johnson Hwy
City
Greeneville
State
Tennessee
Zip
37745-3098
Phone Number
423-378-7665
Fax Number
423-787-6776
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
711 (Tennessee)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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