RESILIENT SPREAD DEVELOPMENT NPI 1578022117

NPI Information

NPI: 1578022117
Provider Name: RESILIENT SPREAD DEVELOPMENT

Doing Business As: GREAT PERSONAL CARE

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
4315 13TH AVE
CHATTANOOGA, TN
ZIP 37407
Phone: (423) 475-6165
Get Directions

RESILIENT SPREAD DEVELOPMENT is an intermediate care facility mental illness in Chattanooga, TN. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. RESILIENT SPREAD DEVELOPMENT NPI is 1578022117. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Personal Care.

The provider's business location address is:

4315 13TH AVE
CHATTANOOGA, TN
ZIP 37407-104
Phone: (423) 475-6165

The provider's authorized official is Roberta Davis .
The authorized official title is Authorized Official and has the following contact phone number (423) 475-6165.

The enumeration date for this NPI number is 3/13/2019 and was last updated on 3/18/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310500000X	Intermediate Care Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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