| NPI | 1316944887 |
|---|---|
| Doing Business As | SHANNONDALE HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | TODD K TAYLOR VP Administrator 865-690-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000150) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TN 1295) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2015-07-13 |