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SOUTHEASTERN HUMAN SERVICES NPI 1275788408


NPI Information

NPI: 1275788408
Provider Name: SOUTHEASTERN HUMAN SERVICES

Doing Business As: COUNTRY VIEW ESTATES

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1895 HIGHWAY 138
TOONE, TN
ZIP 38381
Phone: (731) 658-4629
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SOUTHEASTERN HUMAN SERVICES is a residential treatment facility, intellectual and/or developmental disabilities in Toone, 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. SOUTHEASTERN HUMAN SERVICES NPI is 1275788408. The provider is registered as an organization entity type.
The provider Is Doing Business As Country View Estates.

The provider's business location address is:

1895 HIGHWAY 138
TOONE, TN
ZIP 38381-128
Phone: (731) 658-4629
Fax: (731) 659-2999

The provider's authorized official is Dana Denise Jones .
The authorized official title is Executive Director and has the following contact phone number (731) 616-1456.

The enumeration date for this NPI number is 12/2/2008 and was last updated on 12/2/2008.


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 DisabilitiesL219-107-6737TENNESSEENo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesL219-107-6738TENNESSEEYes

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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