# THE WATERS OF MARYVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982423463
- **Authorized official:** JEFFREY SAX (MANAGER)
- **Authorized official phone:** (269) 281-4200

## Contact information

- **Practice address:** 936 EPWORTH RD, MARYVILLE, TN 37804-3530
- **Practice address phone:** (865) 459-0200
- **Mailing address:** 936 EPWORTH RD, MARYVILLE, TN 37804-3530
- **Mailing address phone:** (865) 459-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2024
- **Last updated:** 04/13/2026