WEST TENNESSEE REGIONAL OFFICE NPI 1629360375

NPI Information

  • NPI: 1629360375
  • Provider Name: WEST TENNESSEE REGIONAL OFFICE
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: DIVISON FOR DEVELOPMENT AND INTELLECTUAL DISABILITIES
  • Address: 11293 MEMPHIS ARLINGTON RD
    ARLINGTON, TN
    ZIP 38002
  • Phone: (901) 745-7573

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NPI Details

WEST TENNESSEE REGIONAL OFFICE is a community based residential treatment facility, intellectual and/or developmental disabilities in Arlington, TN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. WEST TENNESSEE REGIONAL OFFICE NPI is 1629360375. The provider is registered as an organization entity type.
The provider Is Doing Business As Divison For Development And Intellectual Disabilities.

The provider's business location address is:

11293 MEMPHIS ARLINGTON RD
ARLINGTON, TN
ZIP 38002-978
Phone: (901) 745-7573
Fax: (901) 745-7468

The provider's authorized official is Anjali Vasishta .
The authorized official title is Occupational Therapist and has the following contact phone number (901) 745-7573.

The enumeration date for this NPI number is 5/12/2011 and was last updated on 5/12/2011.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesOT1340TENNESSEEYes

What is NPI?

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This page was last updated on: 11/21/2025

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