Organization
LEE STREET DEVELOPERS LLC
Active
Other names
Rose of Sharon's Senior Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERI TANEKA HUDGINS BBA (ADMINISTRATOR)
(423) 822-7673
Entity
Organization
Contact information
Practice address
5410 LEE AVE, CHATTANOOGA, TN 37410-2219
(423) 822-7673
(423) 821-2468
Mailing address
5410 LEE AVE, CHATTANOOGA, TN 37410-2219
(423) 822-7673
(423) 821-2468
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ACL0000000292
TN
385H00000X
Respite Care
ACL000000292
TN
Other
Enumeration date
06/15/2009
Last updated
02/03/2010
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