NPI 1508161126

Rhatrenton Mr INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Humboldt, TN

Practice location

Address: 195 Turner's Loop, Humboldt, TN 38343
Phone: (731) 855-0537
Fax: (731) 855-1257
Mailing address: 2055 US Highway 45 Byp S, Trenton, TN 38382-3501

Authorised official

Name: Wayne Addison
Title: Controller
Phone: (901) 692-5555

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Tennessee →

Registry record

NPI: 1508161126
Entity type: Organization
NPI issued: 12 Jan 2011
Record last updated: 12 Jan 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.