Organization
DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TN
Active
Parent organization
DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TN
Other names
DIDD Katie Beckett Waiver
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TN
Authorized official
ANDY KIDD (DEPUTY COMMISSIONER)
(615) 253-6710
Entity
Organization
Contact information
Practice address
315 DEADERICK ST FL 8, NASHVILLE, TN 37238-3000
(615) 253-6710
Mailing address
315 DEADERICK ST FL 8, NASHVILLE, TN 37238-3000
(615) 253-6710
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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