Organization
PRESBYTERIAN HOMES OF TENNESSEE, INC.
Active
Other names
WellPark at Shannondale
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD KNIGHT TAYLOR (VP - ADMINISTRATOR)
(865) 690-3411
Entity
Organization
Contact information
Practice address
801 VANOSDALE RD, KNOXVILLE, TN 37909-2497
(865) 690-3411
(865) 246-1799
Mailing address
801 VANOSDALE RD, KNOXVILLE, TN 37909-2497
(865) 690-3411
(865) 246-1799
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
404
TN
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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