Organization
ORANGE GROVE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERA ROBERTS (CEO)
(423) 629-1451
Entity
Organization
Contact information
Practice address
615 DERBY ST, CHATTANOOGA, TN 37404-1632
(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
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
L000000009496
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021
—
TN
Enumeration date
11/28/2011
Last updated
03/04/2024
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