Organization
TAKOMA REGIONAL HOSPITAL DBA TAKOMA SENIOR CARE
Active
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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