| NPI | 1124218573 |
|---|---|
| Former Legal Business Name | HOME AWAY FROM HOME OF MARYVILLE, INC. |
| Entity Type | Organization |
| Authorized Contact | CURTIS SORRELLS Owner 865-256-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2022-07-21 |