LAKEBRIDGE A WATERS COMMUNITY LLC

JOHNSON CITY, TN
NPI1043763592
Entity TypeOrganization
Authorized ContactMOISHE GUBIN
Member
708-449-1900
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2016-08-02
Last Update Date2016-08-02
Business Address
LAKEBRIDGE A WATERS COMMUNITY LLC
115 WOODLAWN DR
JOHNSON CITY, TN 37604-5978
Phone number: 423-975-0095
Mailing Address
LAKEBRIDGE A WATERS COMMUNITY LLC
115 WOODLAWN DR
JOHNSON CITY, TN 37604-5978
Phone number: 423-975-0095
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