Organization
DOMINION SENIOR LIVING OF BRISTOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI GOODMAN ED (EXECUTIVE DIRECTOR)
(423) 797-8080
Entity
Organization
Contact information
Practice address
425 SHELBY LN, BRISTOL, TN 37620-5840
(423) 797-8080
(423) 217-1780
Mailing address
425 SHELBY LN, BRISTOL, TN 37620-5840
(423) 797-8080
(423) 217-1780
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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