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MICHAEL DUNN CENTER

Residential Treatment Facilities Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Provider NPI: 1316076268

Organization Information:
Organization Name:  MICHAEL DUNN CENTER
Organization is not Subpart
Authorized Official:  MIKE  MCELHINNEY  PRESIDENT CEO  865-376-3416

Practice Location:
629 GALLAHER RD  KINGSTON, TN 37763-4215 US
Tel: 865-376-3416  Fax: 865-717-4858

Business Mailing Address:
629 GALLAHER RD  KINGSTON, TN 37763-4215 US
Tel: 865-376-3416  Fax: 865-717-4858

NPI Information:
NPI: 1316076268
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N320900000XResidential Treatment Facilities
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
TNL 3(20)4M5-056-1346
N314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
TNL 3(20)4M5-056-1346
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
TNL 3(20)4M5-056-1346
N2355S0801XSpeech, Language and Hearing Service Providers
Specialist/Technologist
TNL 3(20)4M5-056-1346
N133NN1002XDietary & Nutritional Service Providers
Nutritionist
TNL 3(20)4M5-056-1346
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
TNL 3(20)4M5-056-1346
N2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
TNL 3(20)4M5-056-1346
N2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
TNL 3(20)4M5-056-1346
N225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
TNL 3(20)4M5-056-1346
N224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
TNL 3(20)4M5-056-1346
N224ZE0001X
TNL 3(20)4M5-056-1346
Y251C00000XAgencies
Day Training, Developmentally Disabled Services
TNL 3(20)4M5-056-1346
N385HR2060XRespite Care Facility
Respite Care
TNL 3(20)4M5-056-1346
N320600000XResidential Treatment Facilities
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
TNL 3(20)4M5-056-1346
N320700000XResidential Treatment Facilities
Residential Treatment Facility, Physical Disabilities
TNL 3(20)4M5-056-1346

Other Provider Identifiers:

IssuerNumberStateType
00024-ETN05



American Medical Association 2012 taxonomy code information

Code: 251C00000X

Type:

Classification:



Definition:



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