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Organization

NATIONAL HEALTH CARE

Active
Parent organization
N/A
Organization subpart
Yes

Provider details

NPI number
Legal business name
N/A
Authorized official
DOUGLAS VANCE BLOOM OTR/L (DIRECTOR OF REHABILITATION)
(865) 524-7366
Entity
Organization

Contact information

Practice address
809 EAST EMERALD AVE, KNOXVILLE, TN 37917
(865) 524-7366
Mailing address
809 E EMERALD AVE, KNOXVILLE, TN 37917-5550
(865) 524-7366
(865) 637-4402

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000002205
TN

Other

Enumeration date
08/01/2014
Last updated
08/01/2014
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