Organization
RESILIENT SPREAD DEVELOPMENT
Active
Other names
Great Personal Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA DAVIS (AUTHORIZED OFFICIAL)
(423) 475-6165
Entity
Organization
Contact information
Practice address
4315 13TH AVE, CHATTANOOGA, TN 37407-3104
(423) 475-6165
Mailing address
4315 13TH AVE, CHATTANOOGA, TN 37407-3104
(423) 475-6165
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/18/2019
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