NPI 1780208116

Indya Daniels

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Jackson, TN

Practice location

Address: 262 Carriage House Dr, Jackson, TN 38305-2228
Phone: (731) 616-5221

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: 1780208116
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2020
Record last updated: 1 Jun 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.