Organization
BRAKEBILL NURSING HOME
Active
Parent organization
BRAKEBILL NURSING HOME INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRAKEBILL NURSING HOME INC
Authorized official
MRS. KATHY ELAINE HAUN (BILLING SPECIALIST)
(865) 584-3902
Entity
Organization
Contact information
Practice address
5837 LYONS VIEW PIKE, KNOXVILLE, TN 37919-6474
(865) 584-3902
(865) 584-2122
Mailing address
5837 LYONS VIEW PIKE, KNOXVILLE, TN 37919-6474
(865) 584-3902
(865) 584-2122
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445114
—
TN
01
—
1000662
BCBS
TN
Enumeration date
08/24/2006
Last updated
07/21/2022
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