Healthcare Provider Details

I. General information

NPI: 1083041578
Provider Name (Legal Business Name): EC KNOXVILLE OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2013
Last Update Date: 09/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7521 ANDERSONVILLE PIKE
KNOXVILLE TN
37938-4204
US

IV. Provider business mailing address

9510 ORMSBY STATION RD SUITE 101
LOUISVILLE KY
40223-4081
US

V. Phone/Fax

Practice location:
  • Phone: 865-925-2668
  • Fax: 865-925-1867
Mailing address:
  • Phone: 502-753-6004
  • Fax: 502-753-6104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ROBIN L BARBER
Title or Position: VICE PRESIDENT
Credential: JD
Phone: 502-753-6004