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Organization

FOOTHILLS ADULT CARE ENRICHMENT SERVICES

Active
Other names
Adult Life Centers and Independence Services
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AUNDREA MARIE SCHOLEM LPN (OWNER/ DIRECTORS)
(865) 980-8023
Entity
Organization

Contact information

Practice address
1732 W BROADWAY AVE, MARYVILLE, TN 37801-5510
(865) 980-8023
Mailing address
1732 W BROADWAY AVE, MARYVILLE, TN 37801-5510
(865) 980-8023

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
00D6T
TN

Other

Enumeration date
11/13/2015
Last updated
11/13/2015
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