Organization
SODDY DAISY HEALTHCARE, LLC
Active
Other names
Soddy-Daisy Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE MARIE CLARK DANKS CPA (VP OF FINANCE)
(423) 308-1845
Entity
Organization
Contact information
Practice address
701 SEQUOYAH RD, SODDY DAISY, TN 37379-4051
(423) 332-0060
(423) 332-0328
Mailing address
701 SEQUOYAH RD, SODDY DAISY, TN 37379-4051
(423) 332-0060
(423) 332-0328
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445408
—
TN
05
—
7440590
—
TN
Enumeration date
07/18/2007
Last updated
04/17/2008
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