# STATE OF TENNESSEE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE OF TENNESSEE DBA ARLINGTON DEVELOPMENTAL CENTER
- **Other names:** Arlington Developmental Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023151354
- **Legal business name:** STATE OF TENNESSEE DBA ARLINGTON DEVELOPMENTAL CENTER
- **Authorized official:** MR. JOHN M. HASTINGS (ACCOUNTANT 3)
- **Authorized official phone:** (901) 745-7350

## Contact information

- **Practice address:** 11293 MEMPHIS ARLINGTON RD, ARLINGTON, TN 38002-7978
- **Practice address phone:** (901) 745-7350
- **Practice address fax:** (901) 745-7433
- **Mailing address:** PO BOX 586, ACCOUNTING DEPT, ARLINGTON, TN 38002-0586
- **Mailing address phone:** (901) 745-7350
- **Mailing address fax:** (901) 745-7433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | TN | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | TN | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 07/30/2008