Healthcare Provider Details

I. General information

NPI: 1295869147
Provider Name (Legal Business Name): THE ARC OF WASHINGTON COUNTY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 S ROAN ST SUITE 300B
JOHNSON CITY TN
37601-7556
US

IV. Provider business mailing address

2700 S ROAN ST SUITE 300B
JOHNSON CITY TN
37601-7556
US

V. Phone/Fax

Practice location:
  • Phone: 423-928-9362
  • Fax: 423-928-7431
Mailing address:
  • Phone: 423-928-9362
  • Fax: 423-928-7431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License NumberL 327-086-1507
License Number StateTN

VIII. Authorized Official

Name: MR. WILLIAM SCHIERS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 423-928-9362