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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHADYBROOK

Active Organization

SHADYBROOK is a ICF/Individuals with Intellectual Disabilities organization located in GREENEVILLE, Tennessee. NPI 1528221587 is currently active in the NPPES registry. Verify at CMS.

ICF/Individuals with Intellectual Disabilities · GREENEVILLE, TN

Registration Details

NPI Number
1528221587
Provider Type
Organization
NPI Issued
Jul 9, 2008 (18.101115747993 yrs)
Last Updated
Nov 20, 2020
Licenses
L000000015032 (TN)
L000000017005 (TN)

Practice Information

Address
100 PENNSYLVANIA AVE
GREENEVILLE, TN, 377434624
Browse TN providers · Browse ZIP 37743
Phone
4236383926
Fax
4236381105

Other ICF/Individuals with Intellectual Disabilities Organizations in GREENEVILLE, TN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.