NPI 1467760876
State of Tennessee
Practice location
- Address
- 855 Meadowbrook Rd, Afton, TN 37616-6047
- Phone
- (423) 787-6757
- Fax
- (423) 798-6253
- Mailing address
- 190 Serral Dr, Greeneville, TN 37745-3074
Authorised official
- Name
- Margi Story
- Title
- East Tn Homes Director
- Phone
- (423) 787-6757
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1467760876
- Entity type
- Organization
- NPI issued
- 20 Sep 2010
- Record last updated
- 9 Jun 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.