Organization
GRACE REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN W LEACH M.B.S (PRESIDENT)
(423) 566-2250
Entity
Organization
Contact information
Practice address
2435 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2910
(423) 566-2250
(423) 566-5896
Mailing address
2435 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2910
(423) 566-2250
(423) 566-5896
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
446655
TN
Other
Enumeration date
08/17/2006
Last updated
10/09/2018
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