Organization
HEARTLAND SERVICES
Active
Other names
Douglas Cooperative, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE HUGHES (EXECUTIVE DIRECTOR)
(865) 453-3254
Entity
Organization
Contact information
Practice address
1101 WAGNER DR, SEVIERVILLE, TN 37862-3719
(865) 453-3254
(865) 453-3105
Mailing address
1101 WAGNER DR, SEVIERVILLE, TN 37862-3719
(865) 453-3254
(865) 453-3105
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
L 3(20)4M4-115-1143
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00348
AGENCY NUMBER
TN
Enumeration date
12/14/2006
Last updated
03/26/2018
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