Organization
MADISON OPERATING GROUP LLC
Active
Other names
Madison House
Organization subpart
No
Provider details
NPI number
Authorized official
ANSHEL NIEDERMAN (MANAGER)
(919) 900-2005
Entity
Organization
Contact information
Practice address
2000 GREENWAY ST, KINGSPORT, TN 37660-3020
(423) 224-6900
(423) 224-3759
Mailing address
2000 GREENWAY ST, KINGSPORT, TN 37660-3020
(423) 224-6900
(423) 224-3759
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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