Organization
KINDRED NURSING CENTERS LIMITED PARTNERSHIP
Active
Other names
Kindred Transitional Care and Rehabilitation-Maryville
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN WEAVER (ASSISTANT SECRETARY)
(502) 596-7300
Entity
Organization
Contact information
Practice address
1012 JAMESTOWN WAY, MARYVILLE, TN 37803-5865
(865) 984-7400
Mailing address
680 S. FOURTH ST, LOUISVILLE, KY 40202-2407
(502) 596-6505
(502) 596-4134
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000013
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100031944
PREFERRED HEALTH PRTNSHP.
TN
01
—
165753
BLUE CROSS/BLUE SHIELD
TN
05
—
44-5245 & 7440478
—
TN
01
—
702003624
CARITEN
TN
Enumeration date
07/22/2006
Last updated
09/18/2017
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