Dominion Maryville,llc
NPI #1275995623 in Maryville, Tennessee
Provider Information
- NPI Number
- 1275995623
- Entity Type
- Organization
- Organization Name
- Dominion Maryville,llc
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 24, 2016
- Last Updated
- Mar 24, 2016
Practice Location
Authorized Official
- Name
- MR. FRED WHEELER
- Title
- ADMINISTRATOR
- Phone
- (865) 238-5338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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