Individual
MS. JANICE BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 KLEER VU DR, BROWNSVILLE, TN 38012-2165
(901) 338-2678
(731) 326-5081
Mailing address
55 KLEER VU DR, BROWNSVILLE, TN 38012-2165
(901) 338-2678
(731) 326-5081
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
L000000020690
TN
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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