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Organization
SOUTHEASTERN HUMAN SERVICES
Active
Organization
SOUTHEASTERN HUMAN SERVICES
Active
Other names
Country View Estates
Organization subpart
No
Provider details
NPI number
Authorized official
DANA DENISE JONES (EXECUTIVE DIRECTOR)
(731) 616-1456
Entity
Organization
Contact information
Practice address
1895 HIGHWAY 138, TOONE, TN 38381-8128
(731) 658-4629
(731) 659-2999
Mailing address
121 STONEBRIDGE BLVD, SUITE C, JACKSON, TN 38305-2160
(731) 660-5311
(731) 660-0987
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
L219-107-6737
TN
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
L219-107-6738
TN
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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