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Organization

PRESTON PLACE II

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA L DORTON (DIRECTOR)
(423) 378-4673
Entity
Organization

Contact information

Practice address
2303 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-4771
(423) 378-4673
(423) 378-4670
Mailing address
2303 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-4771
(423) 378-4673
(423) 378-4670

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ACL0000000280
TN

Other

Enumeration date
01/26/2011
Last updated
01/26/2011
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