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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