Organization
MFA MARYVILLE OPCO LLC
Active
Parent organization
MFA TENNESSEE HOLDINGS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MFA TENNESSEE HOLDINGS LLC
Authorized official
JOSHUA ROSEN (MANAGING PARTNER)
(469) 619-5372
Entity
Organization
Contact information
Practice address
911 EPWORTH RD, MARYVILLE, TN 37804-3530
(301) 250-2105
Mailing address
5307 E MOCKINGBIRD LN STE 575, DALLAS, TX 75206-5109
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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