Organization
SOUTHEASTERN HUMAN SERVICES
Active
Other names
Country View Estates
Organization subpart
No
Provider details
NPI number
Authorized official
DANA DENISE JONES (EXECUTIVE DIRECTOR)
(731) 616-1456
Entity
Organization
Contact information
Practice address
1895 HIGHWAY 138, TOONE, TN 38381-8128
(731) 658-4629
(731) 659-2999
Mailing address
121 STONEBRIDGE BLVD, SUITE C, JACKSON, TN 38305-2160
(731) 660-5311
(731) 660-0987
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
L219-107-6737
TN
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
L219-107-6738
TN
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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