NPI 1447389572

Michael Dunn Center

Organisation Intellectual Disabilities Intermediate Care Facility Kingston, TN

Practice location

Address: 104 Village Trce, Kingston, TN 37763-7066
Phone: (865) 376-3416
Fax: (865) 717-4858
Mailing address: 629 Gallaher Rd, Kingston, TN 37763-4215

Authorised official

Name: Tracey Taylor
Title: Residential Accountant
Phone: (865) 376-3416

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence L 323-056-1349 (TN)

Other Intermediate Care Facility, Intellectual Disabilities providers in Tennessee →

Registry record

NPI: 1447389572
Entity type: Organization
NPI issued: 5 Mar 2007
Record last updated: 27 Oct 2011

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.