Organization
CHRISTIAN CARE CENTER OF JOHNSON CITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M CAWOOD (RISK MANAGER)
(423) 773-4485
Entity
Organization
Contact information
Practice address
140 TECHNOLOGY LANE, JOHNSON CITY, TN 37604
(423) 434-2016
(423) 926-0812
Mailing address
140 TECHNOLOGY LANE, JOHNSON CITY, TN 37604
(423) 434-2016
(423) 926-0812
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000000388
TN
314000000X
Skilled Nursing Facility
Primary
0000000388
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440605
—
TN
Enumeration date
09/07/2007
Last updated
06/12/2008
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