Organization
MIDDLEBROOK TN OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX KENIGSBERG (MANAGER)
(646) 671-1258
Entity
Organization
Contact information
Practice address
7512 MIDDLEBROOK PIKE, KNOXVILLE, TN 37909-2349
(865) 474-7690
Mailing address
7512 MIDDLEBROOK PIKE, KNOXVILLE, TN 37909-2349
(865) 474-7690
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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