Organization
SWEETWATER LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MICHAEL POTTS MSC (PRESIDENT)
(865) 567-2397
Entity
Organization
Contact information
Practice address
245 BUTLER DR, SWEETWATER, TN 37874-1441
(423) 337-9742
Mailing address
609 CATAWBA AVE, CLINTON, TN 37716-4707
(865) 216-8060
(888) 276-1061
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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