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Organization

STATE OF TENNESSEE

Active
Other names
DIDS West TN ICF-MR Homes
Organization subpart
No

Provider details

NPI number
Authorized official
MS. C. J. MCMORRAN OTR, MBA (REGIONAL DIRECTOR)
(901) 745-7357
Entity
Organization

Contact information

Practice address
11437 MILTON WILSON ROAD, ARLINGTON, TN 38002-0000
(901) 745-7357
(901) 745-7251
Mailing address
11437 MILTON WILSON ROAD, ARLINGTON, TN 38002-0000
(901) 745-7357
(901) 745-7251

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Enumeration date
12/03/2008
Last updated
04/15/2010
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