Organization
STATE OF TENNESSEE
Active
Parent organization
STATE OF TENNESSEE DBA ARLINGTON DEVELOPMENTAL CENTER
Other names
Arlington Developmental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF TENNESSEE DBA ARLINGTON DEVELOPMENTAL CENTER
Authorized official
MR. JOHN M. HASTINGS (ACCOUNTANT 3)
(901) 745-7350
Entity
Organization
Contact information
Practice address
11293 MEMPHIS ARLINGTON RD, ARLINGTON, TN 38002-7978
(901) 745-7350
(901) 745-7433
Mailing address
PO BOX 586, ACCOUNTING DEPT, ARLINGTON, TN 38002-0586
(901) 745-7350
(901) 745-7433
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
TN
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
744-7004
TENNCARE
TN
01
—
744-7006
TENNCARE
TN
05
—
7447004
—
TN
05
—
7447006
—
TN
Enumeration date
02/15/2007
Last updated
07/30/2008
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