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GREENE VALLEY DEVELOPMENTAL CENTER PHARMACY NPI 1609949007


NPI Information

NPI: 1609949007
Provider Name: GREENE VALLEY DEVELOPMENTAL CENTER PHARMACY
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN
ZIP 37745
Phone: (423) 378-7665
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GREENE VALLEY DEVELOPMENTAL CENTER PHARMACY is a residential treatment facility, intellectual and/or developmental disabilities in Greeneville, TN. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. GREENE VALLEY DEVELOPMENTAL CENTER PHARMACY NPI is 1609949007. The provider is registered as an organization entity type.

The provider's business location address is:

4850 E ANDREW JOHNSON HWY
GREENEVILLE, TN
ZIP 37745-098
Phone: (423) 378-7665
Fax: (423) 787-6776

The provider's authorized official is Henry Crockett Meece .
The authorized official title is Chief Officer and has the following contact phone number (423) 787-6568.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 11/29/2007.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities711TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14416067OTHERNABP

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: 5/5/2024

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