Organization
SANCTUARY HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDON ASHLEY HENDERSON (VICE PRESIDENT)
(843) 819-9191
Entity
Organization
Contact information
Practice address
3926 GREENLEAF AVE, KNOXVILLE, TN 37919-4512
(843) 270-9191
Mailing address
3926 GREENLEAF AVE, KNOXVILLE, TN 37919-4512
(843) 270-9191
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
00068328
TN
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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