Whalio Doctors

NPI 1295007839

Eagles Nest Mental Health Services INC

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

Practice location

Address
319 Plus Park Blvd Suite 201, Nashville, TN 37217-1098
Phone
(615) 915-4074
Fax
(615) 942-6392
Mailing address
PO Box 60895, Nashville, TN 37206-0895

Authorised official

Name
Thelma Willene Johnson
Title
Executive Director
Phone
(615) 915-4074

Registered specialties (6)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 7929 (TN)
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X Licence 7929 (TN)
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X Licence 7929 (TN)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X Licence 7929 (TN)
Non-emergency Medical Transport (VAN)
Transportation Services Taxonomy 343900000X Licence 7929 (TN)
Respite Care
Respite Care Facility Taxonomy 385H00000X Licence 7929 (TN)

Registry record

NPI
1295007839
Entity type
Organization
NPI issued
28 Jan 2012
Record last updated
1 Feb 2012

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.