DOMINION SENIOR LIVNING OF CROSSVILLE NPI 1194201434

NPI Information

DOMINION SENIOR LIVNING OF CROSSVILLE is an assisted living facility in Crossville, 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. DOMINION SENIOR LIVNING OF CROSSVILLE NPI is 1194201434. The provider is registered as an organization entity type.

The provider's business location address is:

887 WOODLAWN RD
CROSSVILLE, TN
ZIP 38555-449
Phone: (931) 287-2557

The provider's authorized official is Kellie Dodson .
The authorized official title is Executive Director and has the following contact phone number (931) 287-2557.

The CLIA number assigned to this NPI record is 44D2203991 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2018 and was last updated on 7/18/2018.

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:

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