| NPI | 1952533408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA ANNELLE TOWNSEND CFO 423-268-4383 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L000000008670) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L000000008670) |
| 251J00000X Nursing Care (Licence: TN PSS0000000282) | |
| 253Z00000X In Home Supportive Care (Licence: TN L000000004327) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TN L000000008670) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2022-11-28 |