West Tn Developmental Services
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jackson, TN. Organization (NPI-2).
NPI number1487488128
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1487488128
- Entity type
- Organization (NPI-2)
- Legal business name
- West Tn Developmental Services
- Organization subpart
- No
- Enumeration date
- Aug 27, 2024
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Other names
- West Tn Developmental Services (Doing Business As)
Practice location
131 Tucker St Ste 11Jackson, TN 38301-4055
Phone 731-217-6103
Mailing address
131 Tucker St Ste 11Jackson, TN 38301-4055
Phone 731-217-6103
Authorized official
Jeremy O Beard
Ceo
7316945810
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