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NPI Code Detail

MEDICARE: KEYSTONE CONTINUUM, LLC

MEDICARE: KEYSTONE CONTINUUM, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1323P00000XPsychiatric Residential Treatment FacilityL237M20661497TN

General Provider Information

NPI Number : 1750304044
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEYSTONE CONTINUUM, LLC
Provider Business Mailing Address
First Line : 332 HOSPITAL RD
Second Line : PO BOX 58
City : MOUNTAIN CITY
State : TN
Zip : 37683-4309
Country : US
Telephone Number : 423-727-9898
Fax Number : 423-727-9899
Provider Business Practice Location Address
First Line : 332 HOSPITAL RD
Second Line :
City : MOUNTAIN CITY
State : TN
Zip : 37683-4309
Country : US
Telephone Number : 423-727-9898
Fax Number : 423-727-9899
Authorized Official
Title or Position : ADMINISTRATOR
Name : PAUL KIRKHAM
Credential :
Telephone Number : 423-727-9898
Provider Enumeration Date : 07/26/2006
Last Update Date : 09/30/2009

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Directions to “KEYSTONE CONTINUUM, LLC ” Practice Location

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