NPI 1629287073

Orange Grove Center, INC

Organisation Intellectual Disabilities Intermediate Care Facility Hixson, TN

Practice location

Address: 4403 Comet Trl, Hixson, TN 37343-4313
Phone: (423) 629-1451
Fax: (423) 624-1294
Mailing address: 615 Derby St, Chattanooga, TN 37404-1632

Authorised official

Name: Kyle Hauth
Title: Executive Director
Phone: (423) 629-1451

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 3230961537 (TN)

Other Intermediate Care Facility, Intellectual Disabilities providers in Tennessee →

Registry record

NPI: 1629287073
Entity type: Organization
NPI issued: 22 May 2007
Record last updated: 22 Aug 2020

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.