Organization
OPEN HEARTS OPEN ARMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMI RENE ANDRUS (ASSISTANT EXECUTIVE DIRECTOR)
(865) 324-6101
Entity
Organization
Contact information
Practice address
200 E BROADWAY AVE STE B-31, MARYVILLE, TN 37804-5709
(865) 324-6100
(865) 238-0313
Mailing address
200 E BROADWAY AVE STE B-31, MARYVILLE, TN 37804-5709
(865) 324-6100
(865) 238-0313
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q053587
—
TN
Enumeration date
08/25/2022
Last updated
08/25/2022
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