Organization
DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE IVERSON (DEPUTY COMMISSIONER, FINANCE & ADMI)
(615) 253-6710
Entity
Organization
Contact information
Practice address
400 DEADERICK ST, 9TH FLOOR, CITIZEN PLAZA BUILDING, NASHVILLE, TN 37243-1403
(615) 532-6530
Mailing address
400 DEADERICK ST, 9TH FLOOR, CITIZEN PLAZA BUILDING, NASHVILLE, TN 37243-1403
(615) 532-6530
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445973
—
TN
Enumeration date
02/10/2016
Last updated
02/10/2016
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