Shadybrook
Shadybrook is an Intellectual Disabilities Intermediate Care Facility in Greeneville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.
- Licensed in
- TN
- In the registry since
- 2008
- Specialties on file
- 3
Practice location Address checks out
100 Pennsylvania AveGreeneville, TN 37743-4624
Phone: (423) 638-3926
Fax: (423) 638-1105
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Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X |
|---|---|
| Intellectual Disabilities Intermediate Care Facility | Taxonomy 315P00000X · Licence L000000015032 (TN) |
| Intellectual Disabilities Intermediate Care Facility | Taxonomy 315P00000X · Licence L000000017005 (TN) |
Record details
| NPI number | 1528221587 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cathy Thomas — Executive Director · (423) 638-3926 |
| NPI enumerated | July 9, 2008 |
| Last updated in NPPES | November 20, 2020 |
| Certification date | November 20, 2020 |
| Mailing address | 100 Pennsylvania Ave, Greeneville, TN 37743-4624 |
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2324 Asheville Hwy, Greeneville, TN 37743 · (423) 588-5408
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645 Rambo Rd, Greeneville, TN 37743 · (423) 588-5609