Organization
EXCEPTIONAL DEVELOPMENT FAMILY TREATMENT CENTER, LLC
Active
Other names
Exceptional Development Family Treatment Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA CRENSHAW MED.,CCC-SLP (CEO)
(901) 267-2015
Entity
Organization
Contact information
Practice address
10422 REDMOND DR, CORDOVA, TN 38016-5437
(901) 267-2015
Mailing address
10422 REDMOND DR, CORDOVA, TN 38016-5437
(901) 267-2015
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/11/2009
Last updated
01/07/2019
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