Organization
REHAB RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE MORAN (EXECUTIVE DIRECTOR)
(931) 964-0885
Entity
Organization
Contact information
Practice address
4937 HIGHWAY 43 N, SUITE 100, SUMMERTOWN, TN 38483-7052
(931) 540-8190
Mailing address
4937 HIGHWAY 43 N, SUITE 100, SUMMERTOWN, TN 38483-7052
(931) 540-8190
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
TN
320700000X
Physical Disabilities Residential Treatment Facility
—
TN
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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