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Ms. Janice Ballard
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Brownsville, Tennessee
NPI 1699449652

Janice Ballard is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Brownsville, TN. Janice Ballard practices in Brownsville, TN. The NPI Number for Janice Ballard is 1699449652 and holds a License No. L000000020690 (Tennessee).

The current practice location address for Janice Ballard is 55 Kleer Vu Dr, Brownsville, TN and can be reached out via phone at 901-338-2678 and via fax at 731-326-5081.

Location: 55 Kleer Vu Dr, Brownsville, TN, 38012-2165
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699449652
Provider Name
Janice Ballard
Credential
Provider Entity Type
Individual
Gender
Female
Address
55 Kleer Vu Dr, Brownsville, TN, 38012-2165
Phone Number
901-338-2678
Fax Number
731-326-5081
Provider Enumeration Date
08/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Kleer Vu Dr
City
Brownsville
State
Tennessee
Zip
38012-2165
Phone Number
901-338-2678
Fax Number
731-326-5081
person
Provider Business Mailing Address Details
Address
55 Kleer Vu Dr
City
Brownsville
State
Tennessee
Zip
38012-2165
Phone Number
901-338-2678
Fax Number
731-326-5081
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.
L000000020690 (Tennessee)
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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