Organization
RHA TRENTON MR INC.
Active
Organization
RHA TRENTON MR INC.
Active
Parent organization
RHA TRENTON MR INC.
Other names
14 Cobblestone Dr.
Organization subpart
Yes
Provider details
NPI number
Legal business name
RHA TRENTON MR INC.
Authorized official
MS. ANITA DECKARD (ADMINISTRATOR)
(731) 855-0537
Entity
Organization
Contact information
Practice address
14 COBBLESTONE DR., HUMBOLDT, TN 38343
(731) 855-0537
(731) 855-1257
Mailing address
2055 US HIGHWAY 45 BYP S, TRENTON, TN 38382-3501
(731) 855-0537
(731) 855-1257
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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