Whalio Doctors

NPI 1275788408

Southeastern Human Services

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

Practice location

Address
1895 Highway 138, Toone, TN 38381-8128
Phone
(731) 658-4629
Fax
(731) 659-2999
Mailing address
121 Stonebridge Blvd Suite C, Jackson, TN 38305-2160

Authorised official

Name
Dana Denise Jones
Title
Executive Director
Phone
(731) 616-1456

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence L219-107-6738 (TN)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X Licence L219-107-6737 (TN)

Registry record

NPI
1275788408
Entity type
Organization
NPI issued
2 Dec 2008
Record last updated
2 Dec 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.