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Hot Rod Shannon, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wartburg, Tennessee
NPI 1659648764

Hot Rod Shannon, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Wartburg, TN. Hot Rod Shannon, Inc. practices in Wartburg, TN. The NPI Number for Hot Rod Shannon, Inc. is 1659648764 and holds a License No. (Tennessee).

The current practice location address for Hot Rod Shannon, Inc. is 2303 Morgan County Hwy, Wartburg, TN and can be reached out via phone at 423-346-4630 and via fax at 423-346-4631.

Location: 2303 Morgan County Hwy, Wartburg, TN, 37887-3528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659648764
Provider Name
Hot Rod Shannon, Inc.
Credential
Provider Entity Type
Organization
Address
2303 Morgan County Hwy, Wartburg, TN, 37887-3528
Phone Number
423-346-4630
Fax Number
423-346-4631
Provider Enumeration Date
11/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2303 Morgan County Hwy
City
Wartburg
State
Tennessee
Zip
37887-3528
Phone Number
423-346-4630
Fax Number
423-346-4631
person
Provider Business Mailing Address Details
Address
2303 Morgan County Hwy
City
Wartburg
State
Tennessee
Zip
37887-3528
Phone Number
423-346-4630
Fax Number
423-346-4631
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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