Organization
RICHLAND PLACE SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANETTE LAN WILSON (ADMINISTRATOR)
(615) 325-4440
Entity
Organization
Contact information
Practice address
201 RICHLAND LAKE DR, PORTLAND, TN 37148-1775
(615) 325-4440
(615) 325-4407
Mailing address
201 RICHLAND LAKE DR, PORTLAND, TN 37148-1775
(615) 325-4440
(615) 325-4407
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ACL0000000299
TN
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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