Healthcare Provider Details

I. General information

NPI: 1790420735
Provider Name (Legal Business Name): OUR PLACE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 CHEEYO WAY
LOUDON TN
37774-2737
US

IV. Provider business mailing address

103 CHEEYO WAY
LOUDON TN
37774-2737
US

V. Phone/Fax

Practice location:
  • Phone: 865-657-7222
  • Fax: 865-657-7222
Mailing address:
  • Phone: 865-657-7222
  • Fax: 865-657-7222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CELIA GRUZALSKI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 865-657-7222