Provider Demographics
NPI:1427185842
Name:VOLUNTEERS OF AMERICA MID-STATES
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA MID-STATES
Other - Org Name:VOLUNTEERS OF AMERICA MID-STATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QUALITY ASSURANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERALL
Authorized Official - Middle Name:L
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-885-2552
Mailing Address - Street 1:6591 SUMMER KNOLL CV
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-2859
Mailing Address - Country:US
Mailing Address - Phone:901-937-0100
Mailing Address - Fax:
Practice Address - Street 1:6591 SUMMER KNOLL CV
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2859
Practice Address - Country:US
Practice Address - Phone:901-937-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL3(20)4M3-086-6341320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities