| NPI | 1295191401 |
|---|---|
| Doing Business As | WELLPARK AT SHANNONDALE |
| Entity Type | Organization |
| Authorized Contact | TODD KNIGHT TAYLOR VP Administrator 865-690-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 404) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |