Clover Bottom Developmental Center

  • 1356785307 NPI Number
  • |
  • Actived: 6 years ago
  • |
According to our database, NPI number for Clover Bottom Developmental Center is 1356785307 and actived since Monday, April 22 2013. Clover Bottom Developmental Center is an Organization provider specializes in Intermediate Care Facility, Mentally Retarded. Provider information was last updated on 04/22/2013.

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Overview of Clover Bottom Developmental Center

  • NPI number: 1861037160
  • Provider type: Organization
  • Specialty: Intermediate Care Facility, Mentally Retarded
  • Active since: 04/22/2013
  • Last updated: 04/22/2013

Primary Scrop of Practice

  • Taxonomy Code: 315P00000X
  • Specialty: Intermediate Care Facility, Mentally Retarded
  • License Number: L000000011844
  • License State: TN

Provider Mailing Address

  • Address: 275 Stewarts Ferry Pike
    Nashville, TN 37214
  • Phone: 615-231-5000
  • Fax: 615-231-5074

Provider Practice Location

  • Address: 275 Stewarts Ferry Pike
    Nashville, TN 37214
  • Phone: 615-231-5000
  • Fax: 615-231-5074

Authorized Official

  • Name: DR. Stacey Lynn Dixon PH.D.
  • Position/Title: Chief Officer
  • Telephone Number: 615-231-5300

Scope of Practice

  • Taxonomy Code: 315P00000X
  • Specialty: Intermediate Care Facility, Mentally Retarded
  • License Number: L000000011
  • License State: TN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 7447010
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: TN
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Clover Bottom Developmental Center?
  • A: The npi number for Clover Bottom Developmental Center is 1356785307.
  • Q: What are Clover Bottom Developmental Center's specialties?
  • A: Clover Bottom Developmental Center's specialties are Intermediate Care Facility, Mentally Retarded and different specialities.
  • Q: Where is Clover Bottom Developmental Center business practice location?
  • A: Clover Bottom Developmental Center business practice location is 275 Stewarts Ferry Pike, Nashville, TN 37214.
  • Q: How to contact Clover Bottom Developmental Center?
  • A: You can contact Clover Bottom Developmental Center via 615-231-5000.
  • Q: What is the authorized official for Clover Bottom Developmental Center?
  • A: The authorized office name is DR. Stacey Lynn Dixon PH.D. with position/title is Chief Officer and you can reach the authorized official via phone number 6152315300.