Organization
ADULT COMMUNITY TRAINING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY WALLACE REYNOLDS II MS EDUC. ADM. & SUP (CEO)
(865) 986-6182
Entity
Organization
Contact information
Practice address
5410 HIGHWAY 321 N, LENOIR CITY, TN 37771-7540
(865) 986-6182
(865) 986-1137
Mailing address
5410 HIGHWAY 321 N, LENOIR CITY, TN 37771-7540
(865) 986-6182
(865) 986-1137
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
PPS0000000002
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q018398
—
TN
Enumeration date
03/09/2016
Last updated
03/09/2016
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