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Organization
TRI-AGE ADVENTURES, INC.
Active
Organization
TRI-AGE ADVENTURES, INC.
Active
Other names
Knollwood Manor, Knollwood Manor/The White House Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA RUTH AUSTIN (OWNER/ADMINISTRATOR)
(615) 666-3170
Entity
Organization
Contact information
Practice address
405 TIMES AVE, LAFAYETTE, TN 37083-1247
(615) 666-3170
(615) 666-9146
Mailing address
405 TIMES AVE, LAFAYETTE, TN 37083-1247
(615) 666-3170
(615) 666-9146
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
168
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445410
—
TN
05
—
7440570
—
TN
Enumeration date
09/20/2006
Last updated
06/21/2022
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