Benton County Developmental Services, Inc. in Camden - Day Training, Developmentally Disabled Services
Benton County Developmental Services, Inc. - NPI 1164550190
Benton County Developmental Services, Inc. is a Day Training, Developmentally Disabled Services in Camden, Tennessee. Benton County Developmental Services, Inc. practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Benton County Developmental Services, Inc. is 1164550190. The last update date is 2020-08-22.
Benton County Developmental Services, Inc.'s current location address is 198 Cane St, Camden, Tennessee. You can contact this provider via phone number 7315842002 and fax number 7315848645. The mailing address for Benton County Developmental Services, Inc. is 198 Cane St, Camden, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Benton County Developmental Services, Inc. |
|---|---|
| Address | 198 Cane St, Camden, Tennessee |
| Phone Number | 7315842002 |
| Fax Number | 7315848645 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Fletcher D. Tamara |
| Credentials | M.S. |
| Telephone Number | 7315842002 |
NPI Number Detail
| NPI Number | 1164550190 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 198 Cane St |
|---|---|
| City | Camden |
| State | Tennessee (TN) |
| Post Code | 383201382 |
| Phone Number | 7315842002 |
| Fax Number | 7315848645 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
| Licence No | L3(20)4M3-10 |
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Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the |
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What is the Benton County Developmental Services, Inc.'s unique identification number?
The Benton County Developmental Services, Inc. has been assigned the NPI (National Provider Identifier) Number 1164550190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Benton County Developmental Services, Inc.?
The Benton County Developmental Services, Inc. is situated at 198 Cane St, in the city of Camden, state of TN, with the zip code 383201382.
What is Benton County Developmental Services, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Benton County Developmental Services, Inc.'s area of specialization is Day Training, Developmentally Disabled Services, and the corresponding taxonomy code that categorizes this field of practice is 251C00000X.
On what date did Benton County Developmental Services, Inc. receive its 1164550190 assignment from the Centers for Medicare & Medicaid Services?
The Benton County Developmental Services, Inc. was assigned its 1164550190 on 2007-03-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Benton County Developmental Services, Inc. most recently updated?
The details pertaining to the Benton County Developmental Services, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.