Organization
WEST TN DEVELOPMENTAL SERVICES
Active
Other names
West TN Developmental Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY O BEARD (CEO)
(731) 694-5810
Entity
Organization
Contact information
Practice address
131 TUCKER ST STE 11, JACKSON, TN 38301-4055
(731) 217-6103
Mailing address
131 TUCKER ST STE 11, JACKSON, TN 38301-4055
(731) 217-6103
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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