Mdc Leda Herron Home

LBN: Michael Dunn Center
Mdc Leda Herron Home is an health care organization with primary practice located at 104 Village Trce , Kingston TN 37763-7066. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Michael Dunn Center can be contacted via phone (865) 376-3416, or through Taylor, Tracey via phone (865) 376-3416.

Contact Information

Primary practice address
104 Village Trce Kingston TN 37763-7066
Phone: (865) 376-3416
Fax: (865) 717-4858
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Tracey
Phone: (865) 376-3416

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X L 323-056-1349 Tennessee

Profile Details

NPI number 1447389572
LBN Legal business name Michael Dunn Center
DBA Doing business as Mdc Leda Herron Home
Authorized official Taylor, Tracey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Oct 27th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447389572 NPPES
Tennessee MEDICAID 7447112

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