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Orange Grove Center, Inc 5345 Mountain Creek
Intellectual Disabilities Intermediate Care Facility in Chattanooga, Tennessee
NPI 1770836330

Orange Grove Center, Inc 5345 Mountain Creek is a Intellectual Disabilities Intermediate Care Facility based in Chattanooga, TN. Orange Grove Center, Inc 5345 Mountain Creek practices in Chattanooga, TN. The NPI Number for Orange Grove Center, Inc 5345 Mountain Creek is 1770836330 and holds a License No. APPLYING FOR-NEW (Tennessee).

The current practice location address for Orange Grove Center, Inc 5345 Mountain Creek is 615 Derby St, Chattanooga, TN and can be reached out via phone at 423-629-1451 and via fax at 423-624-1294.

Location: 615 Derby St, Chattanooga, TN, 37415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770836330
Provider Name
Orange Grove Center, Inc 5345 Mountain Creek
Credential
Provider Entity Type
Organization
Address
615 Derby St, Chattanooga, TN, 37415
Phone Number
423-629-1451
Fax Number
423-624-1294
Provider Enumeration Date
10/19/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
615 Derby St
City
Chattanooga
State
Tennessee
Zip
37404-1632
Phone Number
423-629-1451
Fax Number
423-624-1294
person
Provider Business Mailing Address Details
Address
615 Derby St
City
Chattanooga
State
Tennessee
Zip
37404-1632
Phone Number
423-629-1451
Fax Number
423-624-1294
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
APPLYING FOR-NEW (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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