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Organization
ALEXIAN VILLAGE OF TENNESSEE
Active
Organization
ALEXIAN VILLAGE OF TENNESSEE
Active
Other names
ASCENSION LIVING ALEXIAN VILLAGE TENNESSEE
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN SHADBOLT (CEO)
(314) 729-3500
Entity
Organization
Contact information
Practice address
437 ALEXIAN WAY, SIGNAL MOUNTAIN, TN 37377-1954
(423) 886-0100
Mailing address
437 ALEXIAN WAY, SIGNAL MOUNTAIN, TN 37377-1954
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
102
TN
314000000X
Skilled Nursing Facility
Primary
102
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445123
—
TN
05
—
7440001
—
TN
Enumeration date
12/14/2005
Last updated
06/23/2025
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