Life Center for a New Tomorrow, LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Woodbury, TN
NPI 1881908010 · NPPES record last updated Jul 29, 2010
Key facts
- NPI
- 1881908010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- LIFE CENTER FOR A NEW TOMORROW, LLC
- Practice address
- 220 Sunshine LN
Woodbury, TN 37190-4002 - Phone
- (615) 563-4292
- Fax
- (615) 563-4292
- NPI assigned
- Jul 29, 2010
- Organization subpart
- No
Authorized official
- Name
- Marc Vallieres
- Title
- Owner/Manager
- Phone
- (615) 563-4292
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 6994 | TN |
Addresses
Primary practice location
220 Sunshine LN
Woodbury, TN 37190-4002
Mailing address
461 Cedar Crest LN
Woodbury, TN 37190-6184
Phone (615) 563-4292
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H445433 | Medicaid | TN |
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All providers in Woodbury, TN · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2010. 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.