Organization
WHITES CREEK HEALTHCARE LLC
Active
Parent organization
GRACE HEALTHCARE LLC
Other names
Grace Healthcare of Whites Creek
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACE HEALTHCARE LLC
Authorized official
MRS. ALICE MARIE CLARK DANKS CPA (VP OF FINANCE)
(423) 308-1845
Entity
Organization
Contact information
Practice address
3425 KNIGHT DR, WHITES CREEK, TN 37189-9189
(615) 876-2754
(615) 876-9499
Mailing address
3425 KNIGHT DR, WHITES CREEK, TN 37189-9189
(615) 876-2754
(615) 876-9499
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
69
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445281
—
TN
05
—
7440544
—
TN
Enumeration date
06/05/2008
Last updated
06/05/2008
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