| NPI | 1992736912 |
|---|---|
| Doing Business As | LIFE CARE CENTER OF COLLEGEDALE |
| Entity Type | Organization |
| Authorized Contact | CINDY S. CROSS Assistant Secretary 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 106) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-01-07 |