Organization
LVK CORPORATION SENIOR CARE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA SUE CARRUTH (OWNER / MANAGER / CEO)
(423) 496-5010
Entity
Organization
Contact information
Practice address
267 FARNER RD, FARNER, TN 37333-6414
(423) 496-5010
(423) 496-5010
Mailing address
267 FARNER RD, FARNER, TN 37333-6414
(423) 496-5010
(423) 496-5010
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
1000000020871
TN
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3104A0625X
ASSISTED LIVING / MENTAL HEALTH
TN
05
—
Q031202
—
TN
Enumeration date
02/25/2017
Last updated
02/28/2019
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