Organization
GREENE VALLEY DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GREINEDER RN (DIRECTOR OF NURSING)
(423) 787-6663
Entity
Organization
Contact information
Practice address
4850 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-3098
(423) 787-6800
Mailing address
PO BOX 910, GREENEVILLE, TN 37744-0910
(423) 787-6800
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
165098
TN
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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