| Organization Name: | STATE OF TENNESSEE |
| NPI Number: | 1144370305 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARILYN BARNES (REGIONAL DIRECTOR) |
| Mailing Address: | 500 Highway 51 South Ripley |
| State: | TN US |
| Postal Code: | 38063 |
| Phone Number: | 7316354661 |
| Fax Number: | 7316353630 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 12/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |