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Dr. Indya Daniels
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jackson, Tennessee
NPI 1780208116

Indya Daniels is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jackson, TN. Indya Daniels practices in Jackson, TN. The NPI Number for Indya Daniels is 1780208116 and holds a License No. (Tennessee).

The current practice location address for Indya Daniels is 262 Carriage House Dr, Jackson, TN and can be reached out via phone at 731-616-5221. You can also correspond with Indya Daniels through the mailing address at 262 CARRIAGE HOUSE DR, JACKSON, TN - 38305-2228 (mailing address contact number: 731-616-5221).

Location: 262 Carriage House Dr, Jackson, TN, 38305-2228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780208116
Provider Name
Indya Daniels
Credential
Provider Entity Type
Individual
Gender
Female
Address
262 Carriage House Dr, Jackson, TN, 38305-2228
Phone Number
731-616-5221
Fax Number
Provider Enumeration Date
06/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
262 Carriage House Dr
City
Jackson
State
Tennessee
Zip
38305-2228
Phone Number
731-616-5221
Fax Number
person
Provider Business Mailing Address Details
Address
262 Carriage House Dr
City
Jackson
State
Tennessee
Zip
38305-2228
Phone Number
731-616-5221
Fax Number
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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