A KINGS PLACE SPECIALTY GROUP HOME NPI 1467952804

NPI Information

A KINGS PLACE SPECIALTY GROUP HOME is a residential treatment facility emotionally disturbed children in Jackson, TN. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. A KINGS PLACE SPECIALTY GROUP HOME NPI is 1467952804. The provider is registered as an organization entity type.

The provider's business location address is:

145 AIRWAYS BLVD
JACKSON, TN
ZIP 38301-954
Phone: (615) 894-8719

The provider's authorized official is Melinda L. Finch .
The authorized official title is Director / Owner and has the following contact phone number (615) 894-8719.

The enumeration date for this NPI number is 2/12/2018 and was last updated on 2/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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