Organization
RHA TENNESSEE GROUP HOMES
Active
Other names
Stones River Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA ANN IZZI (ADMINISTRATOR)
(615) 895-7788
Entity
Organization
Contact information
Practice address
3350 MEMORIAL BLVD, MURFREESBORO, TN 37129-0208
(615) 895-7788
(615) 895-6999
Mailing address
3606 SULPHUR SPRINGS RD, MURFREESBORO, TN 37129-5884
(615) 849-7735
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
L323-117-4122
TN
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
L 320-015-600
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70447096
—
TN
Enumeration date
07/22/2005
Last updated
07/24/2008
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