Open Home Transitional Living

NPI 1215274873 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1215274873
Enumeration Date 01/15/2013
Last Updated 01/15/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ROBERT BURNS ROBERT
Position OWNER
Phone (615) 668-3917
Fax
Practice Location
6010 CORTEZ CT
HERMITAGE TN, 37076-2404, US
Phone (615) 668-3917
Fax
Business Location
6010 CORTEZ CT
HERMITAGE TN, 37076-2404, US
Phone (615) 668-3917
Fax
Toxanomy
Taxonomy Code 320600000X
License State Tennessee
License Number I0000000010203
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According to our database, Open Home Transitional Living NPI is 1215274873, taxonomy code is 320600000X and license number is I0000000010203, license state is located at Tennessee. Open Home Transitional Living physically located at 6010 Cortez Ct, Hermitage TN, 37076-2404. NPI Number 1033115704 has the healthcare provider type.

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1215274873 NPI number is provided on an as is basis without warranty of any kind. 1215274873 is maintained by the National Plan & Provider Enumeration System. The contents of Open Home Transitional Living are for informational purposes only.