O'Brien
Intermediate Care Facility, Intellectual Disabilities in Greeneville, TN. Organization (NPI-2).
NPI number1679736623
StatusActive
Last updated in NPPESNov 20, 2020
Details
- NPI
- 1679736623
- Entity type
- Organization (NPI-2)
- Legal business name
- O'Brien
- Organization subpart
- No
- Enumeration date
- Jul 9, 2008
- Certification date
- Nov 20, 2020
- Last updated
- Nov 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | L000000015027 | TN | |
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | L000000017000 | TN |
Practice location
100 Pennsylvania AveGreeneville, TN 37743-4624
Phone 423-638-3926 · Fax 423-638-1105
Mailing address
100 Pennsylvania AveGreeneville, TN 37743-4624
Phone 423-638-3926 · Fax 423-638-1105
Authorized official
Cathy Thomas
Executive Director
4236383926
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All 24 Intellectual Disabilities Intermediate Care Facility providers in Greeneville · All 1,045 providers in Greeneville
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