Integrity-Park Terrace, LLC
NPI #1326686064 in South Fulton, Tennessee
Provider Information
- NPI Number
- 1326686064
- Entity Type
- Organization
- Organization Name
- Integrity-Park Terrace, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 12, 2019
- Last Updated
- Nov 18, 2021
Practice Location
- Address
- 712 BROADWAY ST
- City
- South Fulton
- State
- Tennessee
- ZIP Code
- 38257-2406
- Phone
- (731) 479-1321
Authorized Official
- Name
- JONATHAN SWAIN SHORT
- Title
- CIO
- Phone
- (336) 438-1383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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