Organization
RHA HEALTH SERVICES TN, LLC
Active
Other names
14 Cobblestone
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE ADDISON (COO)
(901) 692-5555
Entity
Organization
Contact information
Practice address
14 COBBLESTONE DR, HUMBOLDT, TN 38343-8637
(731) 855-0537
(731) 855-1257
Mailing address
468 HALLE PARK DR, COLLIERVILLE, TN 38017-7089
(901) 692-5555
(901) 692-5561
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
L000000012730
TN
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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