MICHAEL DUNN CENTER NPI 1447389572

NPI Information

MICHAEL DUNN CENTER is an intermediate care facility mentally retarded in Kingston, TN. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. MICHAEL DUNN CENTER NPI is 1447389572. The provider is registered as an organization entity type.
The provider Other Name Is Mdc Leda Herron Home.

The provider's business location address is:

104 VILLAGE TRCE
KINGSTON, TN
ZIP 37763-066
Phone: (865) 376-3416
Fax: (865) 717-4858

The provider's authorized official is Tracey Taylor .
The authorized official title is Residential Accountant and has the following contact phone number (865) 376-3416.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 10/27/2011.

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:

Other Identifiers

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

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