NPI 1487488128
West Tn Developmental Services
Practice location
- Address
- 131 Tucker St STE 11, Jackson, TN 38301-4055
- Phone
- (731) 217-6103
Authorised official
- Name
- Jeremy O Beard
- Title
- Ceo
- Phone
- (731) 694-5810
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1487488128
- Entity type
- Organization
- NPI issued
- 27 Aug 2024
- Record last updated
- 27 Aug 2024
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.