# WHITES CREEK HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRACE HEALTHCARE LLC
- **Other names:** Grace Healthcare of Whites Creek
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386803310
- **Legal business name:** GRACE HEALTHCARE LLC
- **Authorized official:** MRS. ALICE MARIE CLARK DANKS CPA (VP OF FINANCE)
- **Authorized official phone:** (423) 308-1845

## Contact information

- **Practice address:** 3425 KNIGHT DR, WHITES CREEK, TN 37189-9189
- **Practice address phone:** (615) 876-2754
- **Practice address fax:** (615) 876-9499
- **Mailing address:** 3425 KNIGHT DR, WHITES CREEK, TN 37189-9189
- **Mailing address phone:** (615) 876-2754
- **Mailing address fax:** (615) 876-9499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 69 | TN | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 06/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445281 | — | TN |
| 05 | — | 7440544 | — | TN |