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Organization
FAIRFIELD GLADE OF TENNESSEE, LLC
Active
Organization
FAIRFIELD GLADE OF TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B PURVIS (PRESIDENT, LIBERTY LIVING MANAGEMEN)
(910) 815-3122
Entity
Organization
Contact information
Practice address
100 SAMARITAN WAY, CROSSVILLE, TN 38558-1401
(931) 710-0908
Mailing address
2334 41ST ST, WILMINGTON, NC 28403-5502
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
08/15/2025
Last updated
08/19/2025
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