OrganizationActive
Point of Care Residential Living LLC
NPI 1407730815 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jackson, TN
Provider details
- NPI number
- 1407730815
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Conjetta Cunningham, Director of Operations(731) 747-5688
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
620 Old Hickory Blvd Ste 300
Jackson, TN 38305-2978
Phone: (731) 747-5688
Approximate (ZIP-level) locationGet directions
Mailing address
620 Old Hickory Blvd Ste 300
Jackson, TN 38305-2978
Registry dates
- Enumerated
- 2025-07-31
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.