Organization
21ST CENTURY LIVING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN 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
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
03/17/2018
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