Organization
RESTORATION RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SEREADIA COOKE (OWNER)
(615) 727-6299
Entity
Organization
Contact information
Practice address
1160 GALLATIN PIKE S STE 202, MADISON, TN 37115-4627
(615) 727-6299
(615) 229-0272
Mailing address
150 SPY GLASS WAY, HENDERSONVILLE, TN 37075-8548
(615) 727-6299
(615) 229-0272
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
L00000008979
TN
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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