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Organization
MIDDLE TENNESSEE HOMES
Active
Organization
MIDDLE TENNESSEE HOMES
Active
Other names
Wilford
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMA MCCROSKEY PHILLIPS BS (MIDDLE TENNESSEE HOMES DIRECTOR)
(615) 231-5373
Entity
Organization
Contact information
Practice address
2410 WILFORD DRIVE, DONELSON, TN 37214
(615) 231-5373
(615) 231-5074
Mailing address
400 DEADRICK STREET, CITIZENS PLAZA SUITE 900, NASHVILLE, TN 37243
(615) 231-5373
(615) 231-5074
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7447010
—
TN
05
—
7447184
—
TN
05
—
7447185
—
TN
05
—
7447186
—
TN
05
—
7447187
—
TN
05
—
7447188
—
TN
Enumeration date
06/10/2015
Last updated
06/10/2015
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