| NPI | 1265597280 |
|---|---|
| Doing Business As | ROLLER RUSS RESIDENCE FOR INDEPENDENT LIVING |
| Entity Type | Organization |
| Authorized Contact | E DOUGLAS VARNEY President And CEO 423-467-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TN L 219-076-1426) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |