Organization
THE WATERS OF JOHNSON CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOISHE GUBIN (MEMBER)
(708) 449-1900
Entity
Organization
Contact information
Practice address
140 TECHNOLOGY LN, JOHNSON CITY, TN 37604-2004
(423) 434-2016
(423) 979-0798
Mailing address
140 TECHNOLOGY LN, JOHNSON CITY, TN 37604-2004
(423) 434-2016
(423) 979-0798
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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