Organization
KIMMY'S COTTAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN BUTLER (PRESIDENT)
(615) 218-5158
Entity
Organization
Contact information
Practice address
601 MANOR VIEW CIR, BRENTWOOD, TN 37027-4366
(615) 750-3245
Mailing address
1408 DEVENS DR, BRENTWOOD, TN 37027-7214
(615) 373-2068
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
TN
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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