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Organization
SOUTHEASTERN HEALTH FACILITIES INC
Active
Organization
SOUTHEASTERN HEALTH FACILITIES INC
Active
Other names
Etowah Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROY CHISM (ADMINISTRATOR)
(423) 263-1138
Entity
Organization
Contact information
Practice address
409 GRADY RD, ETOWAH, TN 37331-1903
(423) 263-1138
(423) 263-8876
Mailing address
409 GRADY RD, ETOWAH, TN 37331-1903
(423) 263-1138
(423) 263-8876
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
163
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445422
—
TN
05
—
7440321
—
TN
Enumeration date
09/25/2006
Last updated
03/17/2015
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