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Organization
MATURECARE OF STANDIFER PLACE LLC
Active
Organization
MATURECARE OF STANDIFER PLACE LLC
Active
Parent organization
SALT FOUNDATION
Other names
Assistive Services at Standifer Place, The Health Center at Standifer Place, Adult Day Care @ Standifer Gap, Assisted Living at Standifer Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
SALT FOUNDATION
Authorized official
MR. JOHN B MORTON (PRESIDENT)
(615) 893-7523
Entity
Organization
Contact information
Practice address
2626 WALKER RD, CHATTANOOGA, TN 37421-1116
(423) 490-1599
Mailing address
2626 WALKER RD, CHATTANOOGA, TN 37421-1116
(423) 490-1599
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
310400000X
Assisted Living Facility
—
NULL
314000000X
Skilled Nursing Facility
Primary
103
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01400793
CIGNA
—
05
—
0445111
—
TN
01
—
3151760
BCBS
TN
01
—
702010155
CARITEN
—
05
—
7440081
—
TN
01
—
7544368
AETNA
—
Enumeration date
07/13/2006
Last updated
07/07/2020
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