| NPI | 1396742334 |
|---|---|
| Doing Business As | SHANNONDALE OF MARYVILLE HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | DAVID MAXWELL Administrator 865-982-4599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2022-07-21 |