Organization
EARHART 1
Active
Parent organization
CLOVER BOTTOM DEVELOPMENTAL CENTER
Other names
Middle Tennessee Homes
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLOVER BOTTOM DEVELOPMENTAL CENTER
Authorized official
DR. STACEY LYNN DIXON PH.D. (CHIEF OFFICER)
(615) 231-5383
Entity
Organization
Contact information
Practice address
3156 EARHART RD, NASHVILLE, TN 37076
(615) 231-5000
(615) 231-5074
Mailing address
275 STEWARTS FERRY PIKE, NASHVILLE, TN 37214-3325
(615) 231-5000
(615) 231-5074
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
L00000001184
TN
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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