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NPI Code Detail

MEDICARE: MCNAIRY COUNTY DEVELOPMENTAL SERVICES

MEDICARE: MCNAIRY COUNTY DEVELOPMENTAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training AgencyL3(2)4M40966344TN
2343900000XNon-emergency Medical Transport (VAN)
3251J00000XNursing Care AgencyPSS0000000053TN

General Provider Information

NPI Number : 1306982665
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCNAIRY COUNTY DEVELOPMENTAL SERVICES
Provider Business Mailing Address
First Line : 565 INDUSTRIAL PARK DR
Second Line :
City : SELMER
State : TN
Zip : 38375-3278
Country : US
Telephone Number : 731-645-7730
Fax Number : 731-645-9118
Provider Business Practice Location Address
First Line : 565 INDUSTRIAL PARK DR
Second Line :
City : SELMER
State : TN
Zip : 38375-3278
Country : US
Telephone Number : 731-645-7730
Fax Number : 731-645-9118
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JEANNIE T TEUBER
Credential :
Telephone Number : 731-645-7730
Provider Enumeration Date : 01/30/2007
Last Update Date : 03/29/2019

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Directions to “MCNAIRY COUNTY DEVELOPMENTAL SERVICES ” Practice Location

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