Foothills Adult Care Enrichment Services

Organization Active NPI Developmentally Disabled Services Day Training Agency · Maryville, TN

NPI 1275907222 · NPPES record last updated Nov 13, 2015

Key facts

NPI
1275907222
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
License
00D6T (TN)
Legal business name
FOOTHILLS ADULT CARE ENRICHMENT SERVICES
Practice address
1732 W Broadway Ave
Maryville, TN 37801-5510
Phone
(865) 980-8023
NPI assigned
Nov 13, 2015
Organization subpart
No

Authorized official

Name
Mrs. Aundrea Marie Scholem, LPN
Title
Owner/ Directors
Phone
(865) 980-8023

National Provider Directory

Locations

1732 W Broadway Ave
Maryville, TN 37801
Phone (865) 980-8023

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 00D6T TN Yes

Addresses

Primary practice location

1732 W Broadway Ave
Maryville, TN 37801-5510

Mailing address

1732 W Broadway Ave
Maryville, TN 37801-5510
Phone (865) 980-8023

Other names

  • Adult Life Centers and Independence Services Former legal business name

Other providers in Maryville, TN

All providers in Maryville, TN · Developmentally Disabled Services Day Training Agency in Tennessee

Sources for this page

Verify at the official NPI Registry.