Organization · Type 2 NPI

St. Mary's Holston Health and Rehabilitation Center, Inc.

Nursing Facility/Intermediate Care Facility · Knoxville, TN

NPI number 1083752901 Active

Practice location

3916 Boyds Bridge Pike
Knoxville, TN 37914-6233

Fax (865) 524-0408

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X0000000333 (TN)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1083752901

St. Mary's Holston Health and Rehabilitation Center, Inc.'s National Provider Identifier is 1083752901, issued on Feb 2, 2007. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Knoxville, TN. The record was last updated on Dec 2, 2009.