ORANGE GROVE CENTERINC - 3406 CHANDLER AVE NPI 1811297377

NPI Information

ORANGE GROVE CENTER,INC - 3406 CHANDLER AVE is an intermediate care facility mentally retarded in Chattanooga, TN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ORANGE GROVE CENTER,INC - 3406 CHANDLER AVE NPI is 1811297377. The provider is registered as an organization entity type.
The provider Is Doing Business As Orange Grove Center, Inc.

The provider's business location address is:

615 DERBY ST
CHATTANOOGA, TN
ZIP 37404-632
Phone: (423) 629-1451
Fax: (423) 624-1294

The provider's authorized official is Kyle Hauth .
The authorized official title is Director, Orange Grove and has the following contact phone number (423) 629-1451.

The enumeration date for this NPI number is 10/29/2010 and was last updated on 10/29/2010.

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:

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