Michael Dunn Center in Kingston - Intermediate Care Facility, Intellectual Disabilities

Michael Dunn Center - NPI 1447389572

Michael Dunn Center is a Intermediate Care Facility, Intellectual Disabilities in Kingston, Tennessee. Michael Dunn Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Michael Dunn Center is 1447389572. The last update date is 2011-10-27.

Michael Dunn Center's current location address is 629 Gallaher Rd, Kingston, Tennessee. You can contact this provider via phone number 8653763416 and fax number 8657174858. The mailing address for Michael Dunn Center is 629 Gallaher Rd, Kingston, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Michael Dunn Center
Address 629 Gallaher Rd, Kingston, Tennessee
Phone Number 8653763416
Fax Number 8657174858
Sole Proprietor --
Credentials --

Authorized Official

Title or Position RESIDENTIA
Authorized Official Name Taylor Tracey
Telephone Number 8653763416

NPI Number Detail

NPI Number 1447389572
Provider Enumeration Date 2007-03-05
Last Updated Date 2011-10-27

Provider Mailing Address Detail

Address 629 Gallaher Rd
City Kingston
State Tennessee (TN)
Post Code 377634215
Phone Number 8653763416
Fax Number 8657174858

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No L 323-056-13
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7447112 TN --

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FAQs about Michael Dunn Center

What is the unique 10-digit identification code assigned to Michael Dunn Center by the Centers for Medicare & Medicaid Services?

The Michael Dunn Center has been issued the NPI (National Provider Identifier) 1447389572, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Michael Dunn Center?

The Michael Dunn Center is situated at 629 Gallaher Rd, in the city of Kingston, state of TN, with the zip code 377634215.

What is the Michael Dunn Center's specialty and taxonomy code?

The Michael Dunn Center's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1447389572 to Michael Dunn Center?

The Centers for Medicare & Medicaid Services originally issued the 1447389572 to Michael Dunn Center on 2007-03-05.

When was the information regarding Michael Dunn Center most recently updated?

The details pertaining to the Michael Dunn Center, including its address, specialty, and other relevant information, were last refreshed on 2011-10-27.

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