STATE OF TENNESSEE NPI 1306081427

NPI Information

NPI: 1306081427
Provider Name: STATE OF TENNESSEE

Doing Business As: DIDS WEST TN ICF-MR HOMES

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
11437 MILTON WILSON ROAD
ARLINGTON, TN
ZIP 38002
Phone: (901) 745-7357
Get Directions

STATE OF TENNESSEE is an intermediate care facility mentally retarded in Arlington, TN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. STATE OF TENNESSEE NPI is 1306081427. The provider is registered as an organization entity type.
The provider Is Doing Business As Dids West Tn Icf-mr Homes.

The provider's business location address is:

11437 MILTON WILSON ROAD
ARLINGTON, TN
ZIP 38002-000
Phone: (901) 745-7357
Fax: (901) 745-7251

The provider's authorized official is C. J. Mcmorran .
The authorized official title is Regional Director and has the following contact phone number (901) 745-7357.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 4/15/2010.

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	315P00000X	Intermediate Care Facility, Intellectual Disabilities				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: 4/28/2024

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