NPI 1417152372

Terrace at Mountain Creek

Organisation Point of Service Chattanooga, TN

Practice location

Address: 1005 Mountain Creek Rd, Chattanooga, TN 37405-1638
Phone: (423) 874-0200
Fax: (423) 874-0358
Mailing address: 78 Centennial Loop, Eugene, OR 97401-7900

Authorised official

Name: John Holtz
Title: Controller
Phone: (541) 747-3373

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Tennessee →

Registry record

NPI: 1417152372
Entity type: Organization
NPI issued: 19 Jun 2007
Record last updated: 13 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.