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Life Center For A New Tomorrow, LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Woodbury, TN. Organization (NPI-2).

NPI number1881908010
StatusActive
Last updated in NPPESJul 29, 2010

Details

NPI
1881908010
Entity type
Organization (NPI-2)
Legal business name
Life Center For A New Tomorrow, LLC
Organization subpart
No
Enumeration date
Jul 29, 2010
Last updated
Jul 29, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities6994TN

Practice location

220 Sunshine Ln
Woodbury, TN 37190-4002

Phone 615-563-4292 · Fax 615-563-4292

Mailing address

461 Cedar Crest Ln
Woodbury, TN 37190-6184

Phone 615-563-4292 · Fax 615-563-4292

Authorized official

Marc Vallieres
Owner/Manager
6155634292

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