Organization
SCOTT APPALACHIAN INDUSTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY RICHARD WEST MASTERS DEGREE (EXECUTIVE DIRECTOR)
(423) 663-3818
Entity
Organization
Contact information
Practice address
591 E MONTICELLO PIKE, HUNTSVILLE, TN 37756-4109
(423) 663-3818
(423) 663-3365
Mailing address
591 E MONTICELLO PIKE, HUNTSVILLE, TN 37756-4109
(423) 663-9300
(423) 663-3365
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
L 3(20)4M5-066-1387
TN
314000000X
Skilled Nursing Facility
PSS0000000124
TN
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0522
DMRS PROVIDER #
TN
Enumeration date
03/23/2007
Last updated
04/01/2019
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