Organization
CHILDREN'S HOME CHAMBLISS SHELTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP A ACORD SR. (PRESIDENT/CEO)
(423) 698-2456
Entity
Organization
Contact information
Practice address
315 GILLESPIE RD, CHATTANOOGA, TN 37411-3105
(423) 698-2456
(423) 242-1670
Mailing address
315 GILLESPIE RD, CHATTANOOGA, TN 37411-3105
(423) 698-2456
(423) 242-1670
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
SO/10864A
TN
253J00000X
Foster Care Agency
SO/10864A
TN
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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