# SOUTHEASTERN HUMAN SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country View Estates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275788408
- **Authorized official:** DANA DENISE JONES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (731) 616-1456

## Contact information

- **Practice address:** 1895 HIGHWAY 138, TOONE, TN 38381-8128
- **Practice address phone:** (731) 658-4629
- **Practice address fax:** (731) 659-2999
- **Mailing address:** 121 STONEBRIDGE BLVD, SUITE C, JACKSON, TN 38305-2160
- **Mailing address phone:** (731) 660-5311
- **Mailing address fax:** (731) 660-0987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | L219-107-6737 | TN | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | L219-107-6738 | TN | Yes |

## Other

- **Enumeration date:** 12/02/2008
- **Last updated:** 12/02/2008