Organization
TREE OF LIFE RESIDENTIAL CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HOPE GRIFFITH (ADMINSTRATOR)
(931) 581-3728
Entity
Organization
Contact information
Practice address
293 KING RD, TRACY CITY, TN 37387-4613
(931) 581-3728
Mailing address
615 JOHNNY STIEFEL RD, SEQUATCHIE, TN 37374-6158
(931) 581-3728
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15775373
CAQH
TN
Enumeration date
11/17/2022
Last updated
12/13/2022
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