# PRESBYTERIAN HOMES OF TENNESSEE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WellPark at Shannondale
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295191401
- **Authorized official:** MR. TODD KNIGHT TAYLOR (VP - ADMINISTRATOR)
- **Authorized official phone:** (865) 690-3411

## Contact information

- **Practice address:** 801 VANOSDALE RD, KNOXVILLE, TN 37909-2497
- **Practice address phone:** (865) 690-3411
- **Practice address fax:** (865) 246-1799
- **Mailing address:** 801 VANOSDALE RD, KNOXVILLE, TN 37909-2497
- **Mailing address phone:** (865) 690-3411
- **Mailing address fax:** (865) 246-1799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 404 | TN | Yes |

## Other

- **Enumeration date:** 01/05/2016
- **Last updated:** 01/05/2016