NPI 1215274873

Open Home Transitional Living

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

Practice location

Address: 6010 Cortez CT, Hermitage, TN 37076-2404
Phone: (615) 668-3917

Authorised official

Name: Robert Burns Jackson
Title: Owner
Phone: (615) 668-3917

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence I0000000010203 (TN)

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

Registry record

NPI: 1215274873
Entity type: Organization
NPI issued: 15 Jan 2013
Record last updated: 15 Jan 2013

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.