| NPI | 1467723155 |
|---|---|
| Doing Business As | DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES |
| Entity Type | Organization |
| Authorized Contact | DAVID COMM Director Of Business Services 629-267-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TN I000000010134) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2023-07-05 |