Organization
ORANGE GROVE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERA ROBERTS (EXECUTIVE DIRECTOR)
(423) 629-1451
Entity
Organization
Contact information
Practice address
87 DOWLEN RD, HIXSON, TN 37343-2770
(423) 629-1451
(423) 624-1294
Mailing address
615 DERBY ST, CHATTANOOGA, TN 37404-1632
(423) 629-1451
(423) 624-1294
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
32309631540
TN
Other
Enumeration date
05/23/2007
Last updated
03/04/2024
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