Organization
RHATRENTON MR INC.
Active
Organization
RHATRENTON MR INC.
Active
Other names
195 Turner's Loop
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE ADDISON (CONTROLLER)
(901) 692-5555
Entity
Organization
Contact information
Practice address
195 TURNER'S LOOP, 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
01/12/2011
Last updated
01/12/2011
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