Organization
THE BLAKE AT KINGSPORT OPERATING CO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NICOLE BRIGGS (EXECUTIVE DIRECTOR)
(423) 246-1100
Entity
Organization
Contact information
Practice address
915 HOLSTON HILLS DR, KINGSPORT, TN 37664-4166
(423) 246-1100
Mailing address
915 HOLSTON HILLS DR, KINGSPORT, TN 37664-4166
(423) 246-1100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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