Organization
BSK ENTERPRISES, LLC
Active
Organization
BSK ENTERPRISES, LLC
Active
Other names
Southern Heritage Assisted Living II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH JAMES STONEBROOK (REGIONAL DIRECTOR)
(423) 290-8537
Entity
Organization
Contact information
Practice address
5310 CLEMONS RD BLDG 200, EAST RIDGE, TN 37412-3108
(423) 490-0119
(423) 894-6187
Mailing address
5310 CLEMONS RD BLDG 200, EAST RIDGE, TN 37412-3108
(423) 490-0119
(423) 894-6187
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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