Orange Grove Center, Inc 7445 Pinewood Dr

NPI 1225315161 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1225315161
Enumeration Date 11/07/2011
Last Updated 11/07/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KYLE KYLE
Position EXECUTIVE DIRECTOR
Phone (423) 629-1451
Fax (423) 624-1294
Practice Location
615 DERBY ST
CHATTANOOGA TN, 37404-1632, US
Phone (423) 629-1451
Fax (423) 624-1294
Business Location
7445 PINEWOOD DR.
CHATTANOOGA TN, 37421-1817, US
Phone (423) 629-1451
Fax (423) 624-1294
Toxanomy
Taxonomy Code 315P00000X
License State
License Number
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According to our database, Orange Grove Center, Inc 7445 Pinewood Dr NPI is 1225315161, taxonomy code is 315P00000X Orange Grove Center, Inc 7445 Pinewood Dr physically located at 615 Derby St, Chattanooga TN, 37404-1632. NPI Number 1033115704 has the healthcare provider type.

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1225315161 NPI number is provided on an as is basis without warranty of any kind. 1225315161 is maintained by the National Plan & Provider Enumeration System. The contents of Orange Grove Center, Inc 7445 Pinewood Dr are for informational purposes only.