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Organization
ELCM KNOXVILLE LEASING LLC
Active
Organization
ELCM KNOXVILLE LEASING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BOETHEL (PRINCIPAL)
(214) 535-6071
Entity
Organization
Contact information
Practice address
801 E INSKIP DR, KNOXVILLE, TN 37912-3734
(865) 357-1660
Mailing address
14241 DALLAS PKWY, SUITE 650, BUILDING 3, DALLAS, TX 75254-2936
(973) 219-6873
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
ACL0000000377
TN
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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