State of Tennessee
State of Tennessee is an Intellectual Disabilities Intermediate Care Facility in Greeneville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.
- Licensed in
- TN
- In the registry since
- 2012
Practice location Address checks out
2497 Buckingham RdGreeneville, TN 37743
Phone: (423) 787-0824
Fax: (423) 787-6092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence I000000010290 (TN) |
|---|
Record details
| NPI number | 1780958454 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Margi Story — Director · (423) 787-6757 |
| Other names | Didd East Tn Community Homes |
| NPI enumerated | February 28, 2012 |
| Last updated in NPPES | February 28, 2012 |
| Mailing address | 190 Serral Dr, Greeneville, TN 37745-3074 |
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