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State Of Tn
Intellectual Disabilities Intermediate Care Facility in Chuckey, Tennessee
NPI 1982999777

State Of Tn is a Intellectual Disabilities Intermediate Care Facility based in Greeneville, TN. State Of Tn practices in Chuckey, TN. The NPI Number for State Of Tn is 1982999777 and holds a License No. (Tennessee).

The current practice location address for State Of Tn is 143 Delzie Randolph Rd, Chuckey, TN and can be reached out via phone at 423-787-6757 and via fax at 423-798-6253.

Location: 143 Delzie Randolph Rd, Chuckey, TN, 37745-3074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982999777
Provider Name
State Of Tn
Credential
Provider Entity Type
Organization
Address
143 Delzie Randolph Rd, Chuckey, TN, 37745-3074
Phone Number
423-787-6757
Fax Number
423-798-6253
Provider Enumeration Date
06/09/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7447158 05 TN
institution
Provider Business Practice Location Address Details
Address
143 Delzie Randolph Rd
City
Chuckey
State
Tennessee
Zip
37641-6247
Phone Number
423-787-6757
Fax Number
423-798-6253
person
Provider Business Mailing Address Details
Address
143 Delzie Randolph Rd
City
Chuckey
State
Tennessee
Zip
37641-6247
Phone Number
423-787-6757
Fax Number
423-798-6253
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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