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General NPI Number Information
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NPI Number | 1962910414
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Entity Type | Organization
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Legal Business Name | ROCHELLE CENTER
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 237 FRENCH LANDING DR
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City | NASHVILLE
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State | TN
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Zip | 37228-1601
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Country | US
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Telephone | 615-635-0323
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Fax |
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Provider Business Mailing Address
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Address Line | 237 FRENCH LANDING DR
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City | NASHVILLE
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State | TN
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Zip | 37228-1601
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Country | US
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Telephone | 615-635-0323
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF COMPLIANCE
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Name | KAYLA MILBURN
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Credential |
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Telephone | 615-635-0419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 15391
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 15391
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License Number State | TN
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