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OPEN ARMS CARE CORPORATION

Intermediate Care Mentally Retarded

Antioch, Tennessee

Provider NPI: 1508909433

Organization Information:
Organization Name:  OPEN ARMS CARE CORPORATION
Organization is not Subpart
Authorized Official:  JAMES  WREN  CFO  615-2544006

Practice Location:
13312 OLD HICKORY BLVD  ANTIOCH, TN 37013 US
Tel: 615-941-1418  Fax: --

Business Mailing Address:
101 WESTPARK DR STE 140  BRENTWOOD, TN 37027 US
Tel: 615-254-4006  Fax: 615-254-4008

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
TNI-320-051-760

Other Provider Identifiers:

IssuerNumberStateType
7447065TN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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