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LIBERTY ASSISTED LIVING LLC NPI 1124218573


NPI Information

NPI: 1124218573
Provider Name: LIBERTY ASSISTED LIVING LLC

Former Legal Business Name: HOME AWAY FROM HOME OF MARYVILLE, INC.

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
312 MCMASTER PL
LIBERTY ASSISTED LIVING LLC
MARYVILLE, TN
ZIP 37801
Phone: (865) 984-7047
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LIBERTY ASSISTED LIVING LLC is an assisted living facility in Maryville, TN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LIBERTY ASSISTED LIVING LLC NPI is 1124218573. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Home Away From Home Of Maryville, Inc..

The provider's business location address is:

312 MCMASTER PL
LIBERTY ASSISTED LIVING LLC
MARYVILLE, TN
ZIP 37801
Phone: (865) 984-7047
Fax: (865) 984-8722

The provider's authorized official is Curtis Sorrells .
The authorized official title is Owner and has the following contact phone number (865) 256-2797.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityTENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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