Organization
MUR-CI HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY MICHAEL KOPANSKY EDD (EXECUTIVE DIRECTOR)
(615) 641-6446
Entity
Organization
Contact information
Practice address
2984 BABY RUTH LN, ANTIOCH, TN 37013-2301
(615) 641-6446
(615) 641-2416
Mailing address
2984 BABY RUTH LN, ANTIOCH, TN 37013-2301
(615) 641-6446
(615) 641-2416
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
L323-066-3325
TN
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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