Terrace at Mountain Creek
NPI #1417152372 in Chattanooga, Tennessee
Provider Information
- NPI Number
- 1417152372
- Entity Type
- Organization
- Organization Name
- Terrace at Mountain Creek
- Primary Specialty
- Point of Service
- Enumeration Date
- Jun 19, 2007
- Last Updated
- May 13, 2008
Practice Location
- Address
- 1005 MOUNTAIN CREEK RD
- City
- Chattanooga
- State
- Tennessee
- ZIP Code
- 37405-1638
- Phone
- (423) 874-0200
Authorized Official
- Name
- MR. JOHN HOLTZ
- Title
- CONTROLLER
- Phone
- (541) 747-3373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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