Organization
SSA JOHNSON CITY ALF, LLC
Active
Parent organization
SSA JOHNSON CITY ALF LLC
Other names
Broadmore Senior Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSA JOHNSON CITY ALF LLC
Authorized official
D. LEE FIELD (MEMBER)
(425) 474-0425
Entity
Organization
Contact information
Practice address
406 E. MOUNTAIN VIEW ROAD, JOHNSON CITY, TN 37601
(423) 282-0300
(423) 282-8117
Mailing address
406 E. MOUNTAIN VIEW ROAD, JOHNSON CITY, TN 37601
(423) 282-0300
(423) 282-8117
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ACL000000125
TN
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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