Organization
21ST CENTURY REHABILITATION SERVICES
Active
Other names
21st Century Living Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A BIRDWELL (PRESIDENT)
(615) 452-9766
Entity
Organization
Contact information
Practice address
575 AIRPORT RD, GALLATIN, TN 37066-4901
(615) 452-9766
(615) 452-1125
Mailing address
575 AIRPORT RD, GALLATIN, TN 37066-4901
(615) 452-9766
(615) 452-1125
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
405-8912
TN
Other
Enumeration date
04/02/2007
Last updated
07/07/2022
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