Benton County Developmental Services, Inc.
Organization Active NPI Developmentally Disabled Services Day Training Agency · Camden, TN
NPI 1164550190 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1164550190
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- L3(20)4M3-106-6390 (TN)
- Legal business name
- BENTON COUNTY DEVELOPMENTAL SERVICES, INC.
- Practice address
- 198 Cane St
Camden, TN 38320-1382 - Phone
- (731) 584-2002
- Fax
- (731) 584-8645
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Tamara D. Fletcher, M.S.
- Title
- Executive Director
- Phone
- (731) 584-2002
National Provider Directory
Locations
198 Cane St
Camden, TN 38320
Phone (731) 584-2002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | L3(20)4M3-106-6390 | TN | Yes |
Addresses
Primary practice location
198 Cane St
Camden, TN 38320-1382
Mailing address
198 Cane St
P.O. Box 420
Camden, TN 38320-1382
Phone (731) 584-2002
Other names
- Cornerstone
Other providers in Camden, TN
- Ascend Medical Group, LLC
- Ascend Medical Group, LLC
- Timothy Elbert Ashmore
- Tron D Baker
- Beaba TN LLC
- Ken D. Berry
- Big Rock Eye Care PLLC
- Shelly Denise Birdwell
- Michael Eugene Bogard
- Susan Brewer
All providers in Camden, TN · Developmentally Disabled Services Day Training Agency in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.