Organization
SWEETWATER HOME FOR SENIORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL ALEXANDER BEVERLEY III MBA (ADMINISTRATOR)
(423) 337-9742
Entity
Organization
Contact information
Practice address
245 BUTLER DR, SWEETWATER, TN 37874-1441
(423) 337-9742
(423) 836-9095
Mailing address
245 BUTLER DR, SWEETWATER, TN 37874-1441
(423) 337-9742
(423) 836-9095
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ACL000000291
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H4451113
—
TN
Enumeration date
10/01/2010
Last updated
10/01/2010
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