Organization
MOUNT JULIET SENIOR LIVING, LLC
Active
Other names
Providence Place of Mount Juliet
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY PATTON (EXECUTIVE DIRECTOR)
(615) 758-4800
Entity
Organization
Contact information
Practice address
1020 CHARLIE DANIELS PKWY, MT JULIET, TN 37122-3064
(615) 758-4800
Mailing address
1020 CHARLIE DANIELS PKWY, MT JULIET, TN 37122-3064
(615) 758-4800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445123
—
TN
Enumeration date
09/02/2022
Last updated
03/21/2024
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