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Organization

MICHAEL DUNN CENTER

Active
Other names
LaCroix Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE L. MCELHINNEY (PRESIDENT/CEO)
(865) 376-3416
Entity
Organization

Contact information

Practice address
313 MICHAEL DUNN DR, ROCKWOOD, TN 37854-4519
(865) 376-3416
(865) 376-3532
Mailing address
629 GALLAHER RD, KINGSTON, TN 37763-4215
(865) 376-3416
(865) 376-3532

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
L000000014778
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103G705293
MEDICARE PTAN
Enumeration date
07/22/2016
Last updated
10/10/2016
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