Organization
ALLIED COMMUNITY SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ALLENE KIMBALL (DDP CO-OWNER)
(423) 899-4747
Entity
Organization
Contact information
Practice address
4406 BRAINERD RD, CHATTANOOGA, TN 37411-5426
(423) 899-4747
Mailing address
4406 BRAINERD RD, CHATTANOOGA, TN 37411-5426
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q035067
—
TN
Enumeration date
03/29/2018
Last updated
11/26/2018
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