NPI 1023412020

State of Tennessee

Organisation Intellectual Disabilities Intermediate Care Facility Greeneville, TN

Practice location

Address: 2324 Asheville Highway, Greeneville, TN 37743
Phone: (423) 588-5408
Fax: (423) 787-6465
Mailing address: PO Box 309, Greeneville, TN 37744-0309

Authorised official

Name: Margi E Story
Title: Director
Phone: (423) 787-6481

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence I000000013270 (TN)

Other Intermediate Care Facility, Intellectual Disabilities providers in Tennessee →

Registry record

NPI: 1023412020
Entity type: Organization
NPI issued: 20 Oct 2014
Record last updated: 20 Oct 2014

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.