Organization
BROADWAY SENIOR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ELLIS RHIT (PRIVACY OFFICER)
(865) 549-2121
Entity
Organization
Contact information
Practice address
2027 N BROADWAY ST, KNOXVILLE, TN 37917-5808
(865) 522-8922
Mailing address
2027 N BROADWAY ST, KNOXVILLE, TN 37917-5808
(865) 522-8922
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2006
Last updated
08/22/2020
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