Organization
NEW LIFE LODGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE R MUNROE CFO (CHIEF FINANCIAL OFFICER)
(615) 446-7034
Entity
Organization
Contact information
Practice address
999 GIRL SCOUT RD, BURNS, TN 37029-9065
(615) 446-7034
(615) 446-2377
Mailing address
PO BOX 430, BURNS, TN 37029-0430
(615) 446-7034
(615) 446-2377
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0000000116
TN
Other
Enumeration date
05/28/2006
Last updated
08/22/2020
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