NPI 1285905976
State of Tennessee
Practice location
- Address
- 2105 Susong Rd, Greeneville, TN 37743-4944
- Phone
- (423) 787-0659
- Mailing address
- 315 Deaderick St Fl 8, Nashville, TN 37238-3000
Authorised official
- Name
- David Comm
- Title
- Director of Business Services
- Phone
- (629) 267-8103
Registered specialties (2)
Home Health Agency
Primary
Intellectual Disabilities Intermediate Care Facility
Registry record
- NPI
- 1285905976
- Entity type
- Organization
- NPI issued
- 26 Jan 2012
- Record last updated
- 5 Jul 2023
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.