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Organization
SCHOLAR CARE COLLABORATIVE GROUP, INC
Active
Organization
SCHOLAR CARE COLLABORATIVE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA J. TISDELL LPN (VICE-PRESIDENT)
(901) 598-7292
Entity
Organization
Contact information
Practice address
5170 HICKORY HOLLOW PKWY UNIT 407, ANTIOCH, TN 37013-3089
(615) 573-2412
Mailing address
5170 HICKORY HOLLOW PKWY UNIT 407, ANTIOCH, TN 37013-3089
(615) 573-2412
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
TN
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
09/22/2012
Last updated
09/22/2012
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