Organization
HELEN R TUCKER ADULT DEVELOPMENT CENTER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE ELIZABETH WIEBER (EXECUTIVE DIRECTOR)
(731) 635-4290
Entity
Organization
Contact information
Practice address
2660 HIGHWAY 51 N, RIPLEY, TN 38063-8114
(731) 635-4290
(731) 635-8975
Mailing address
PO BOX 648, RIPLEY, TN 38063-0648
(731) 635-4290
(731) 635-8975
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
L000000014226
TN
253Z00000X
In Home Supportive Care Agency
L000000014226
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q018327
—
TN
Enumeration date
03/22/2016
Last updated
03/22/2016
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