institution
State Of Tennessee
Intellectual Disabilities Intermediate Care Facility in Greeneville, Tennessee
NPI 1629342415

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 1629342415 and holds a License No. I000000010288 (Tennessee).

The current practice location address for State Of Tennessee is 102 Dyer St., Greeneville, TN and can be reached out via phone at 423-787-0879 and via fax at 423-787-6092. You can also correspond with State Of Tennessee through the mailing address at 190 SERRAL DR, GREENEVILLE, TN - 37745-3074 (mailing address contact number: 423-787-6757).

Location: 102 Dyer St., Greeneville, TN, 37745-3074
institution
Provider Profile Details
NPI Number
1629342415
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
102 Dyer St., Greeneville, TN, 37745-3074
Phone Number
423-787-0879
Fax Number
423-787-6092
Provider Enumeration Date
02/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31500000X 01 TN TAXONOMY
institution
Provider Business Practice Location Address Details
Address
102 Dyer St.
City
State
Zip
37743
Phone Number
423-787-0879
Fax Number
423-787-6092
person
Provider Business Mailing Address Details
Address
190 Serral Dr
City
State
Zip
37745-3074
Phone Number
423-787-6757
Fax Number
423-787-6092
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
I000000010288 (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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