Organization
DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE LYNN JONES (COTA/L)
(615) 231-5425
Entity
Organization
Contact information
Practice address
275 STEWARTS FERRY PIKE, NASHVILLE, TN 37214-3325
(615) 231-5425
(615) 884-4405
Mailing address
275 STEWARTS FERRY PIKE, NASHVILLE, TN 37214-3325
(615) 231-5425
(615) 884-4405
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0000001013
TN
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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