Organization
MIDDLE TENNESSEE HOMES
Active
Other names
Wilford
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMA MCCROSKEY PHILLIPS BS (MIDDLE TENNESSEE HOMES DIRECTOR)
(615) 231-5373
Entity
Organization
Contact information
Practice address
2410 WILFORD DRIVE, DONELSON, TN 37214
(615) 231-5373
(615) 231-5074
Mailing address
400 DEADRICK STREET, CITIZENS PLAZA SUITE 900, NASHVILLE, TN 37243
(615) 231-5373
(615) 231-5074
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7447010
—
TN
05
—
7447184
—
TN
05
—
7447185
—
TN
05
—
7447186
—
TN
05
—
7447187
—
TN
05
—
7447188
—
TN
Enumeration date
06/10/2015
Last updated
06/10/2015
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