Organization
STANFORD HEIGHTS AND ASSOCIATES
Active
Organization
STANFORD HEIGHTS AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA WRIGHT (EXECUTIVE DIRECTOR)
(931) 249-9337
Entity
Organization
Contact information
Practice address
1808 MEMORIAL CIR STE D, CLARKSVILLE, TN 37043-4528
(931) 220-1949
Mailing address
1808 MEMORIAL CIR STE D, CLARKSVILLE, TN 37043-4528
(931) 249-9337
(931) 443-0118
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q061664
—
TN
Enumeration date
11/09/2020
Last updated
04/07/2022
Update your record
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