OrganizationActive
Hot Rod Shannon, Inc.
NPI 1659648764 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wartburg, TN
Provider details
- NPI number
- 1659648764
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Alice Freels, President(423) 539-2757
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
2303 Morgan County Hwy
Wartburg, TN 37887-3528
Phone: (423) 346-4630
Fax: (423) 346-4631
Approximate (ZIP-level) locationGet directions
Mailing address
2303 Morgan County Hwy
Wartburg, TN 37887-3528
Registry dates
- Enumerated
- 2011-11-18
- Last updated
- 2011-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.