OrganizationActive
Michael Dunn Center
NPI 1003950692 · Intellectual Disabilities Intermediate Care Facility · Kingston, TN
Provider details
- NPI number
- 1003950692
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Tracey Taylor, Residential Accountant
- License
- L 323-056-1347 (TN)
Practice location
106 Village Trce
Kingston, TN 37763-7066
Phone: (865) 376-3416
Fax: (865) 717-4858
Mailing address
629 Gallaher Rd
Kingston, TN 37763-4215
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2011-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.