Organization
KNOXVILLE HEALTH CARE CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R MICHAEL USSERY (AUTHORIZED REPRESENTATIVE)
(615) 890-2020
Entity
Organization
Contact information
Practice address
2120 HIGHLAND AVE, KNOXVILLE, TN 37916-1112
(865) 525-4131
Mailing address
2120 HIGHLAND AVE, KNOXVILLE, TN 37916-1112
(865) 525-4131
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4041480
PPO
—
Enumeration date
02/05/2007
Last updated
08/22/2020
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