Organization
SERENE MANOR HOSPITAL INC
Active
Other names
Serene Manor Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA GRIFFIN (ADMINISTRATOR)
(865) 523-9171
Entity
Organization
Contact information
Practice address
970 WRAY STREET, KNOXVILLE, TN 37917
(865) 523-9171
(865) 523-0021
Mailing address
970 WRAY STREET, KNOXVILLE, TN 37917
(865) 523-9171
(865) 523-0021
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
7440177
TN
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744017
—
TN
05
—
74410177
—
TN
Enumeration date
09/19/2005
Last updated
08/19/2016
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