Organization
RIDGE POINTE SUPPORTIVE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHANAE ARNWINE (DIRECTOR)
(423) 920-5298
Entity
Organization
Contact information
Practice address
107 COUNTY ROAD 2520, ATHENS, TN 37303-6925
(423) 920-5298
Mailing address
111 PARK ST, ATHENS, TN 37303-4255
(423) 920-5298
(423) 453-5243
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q053603
—
TN
Enumeration date
11/18/2020
Last updated
11/18/2020
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