NPI 1023151354

State of Tennessee

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Arlington, TN

Practice location

Address: 11293 Memphis Arlington Rd, Arlington, TN 38002-7978
Phone: (901) 745-7350
Fax: (901) 745-7433
Mailing address: PO Box 586 Accounting Dept, Arlington, TN 38002-0586

Authorised official

Name: John M. Hastings
Title: Accountant 3
Phone: (901) 745-7350

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Tennessee →

Intellectual Disabilities Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Tennessee →

Registry record

NPI: 1023151354
Entity type: Organization
NPI issued: 15 Feb 2007
Record last updated: 30 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.