Organization
MADISON HAYWOOD COUNTY DEVELOPMENTAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMIKA BARBOUR (QA MANAGER)
(731) 664-0855
Entity
Organization
Contact information
Practice address
38 GARLAND DR, JACKSON, TN 38305-3602
(731) 664-0855
(731) 668-2433
Mailing address
PO BOX 11205, JACKSON, TN 38308-0120
(731) 664-0855
(731) 668-2433
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
6292
TN
251C00000X
Developmentally Disabled Services Day Training Agency
6293
TN
251C00000X
Developmentally Disabled Services Day Training Agency
6294
TN
251C00000X
Developmentally Disabled Services Day Training Agency
6295
TN
251C00000X
Developmentally Disabled Services Day Training Agency
6297
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068
DMRS PROVIDER NUMBER
TN
Enumeration date
02/23/2007
Last updated
02/05/2020
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