Organization
TAKOMA REGIONAL HOSPITAL DBA TAKOMA SENIOR CARE
Active
Other names
Takoma Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
BLIN RICHARDS (CFO)
(423) 636-2376
Entity
Organization
Contact information
Practice address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 636-2446
Mailing address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 636-2446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/03/2007
Last updated
09/11/2025
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