Organization
DOMINION SENIOR LIVNING OF CROSSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE DODSON (EXECUTIVE DIRECTOR)
(931) 287-2557
Entity
Organization
Contact information
Practice address
887 WOODLAWN RD, CROSSVILLE, TN 38555-5449
(931) 287-2557
Mailing address
887 WOODLAWN RD, CROSSVILLE, TN 38555-5449
(931) 287-2557
(931) 484-9041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ACL0000000422
TN
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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