Organization
DOMINION MARYVILLE,LLC
Active
Other names
Clover Hill Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED WHEELER (ADMINISTRATOR)
(865) 238-5338
Entity
Organization
Contact information
Practice address
2317 US HIGHWAY 411 S, MARYVILLE, TN 37801-8634
(865) 238-5338
Mailing address
2317 US HIGHWAY 411 S, MARYVILLE, TN 37801-8634
(865) 238-5338
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
423
TN
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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