Provider Demographics
NPI:1235554007
Name:ACCESS LIVING TENNESSEE, LLC
Entity Type:Organization
Organization Name:ACCESS LIVING TENNESSEE, LLC
Other - Org Name:AMRAMP OF EAST TENNESSEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-291-7352
Mailing Address - Street 1:12828 BROKEN SADDLE RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-1332
Mailing Address - Country:US
Mailing Address - Phone:865-438-8032
Mailing Address - Fax:
Practice Address - Street 1:12828 BROKEN SADDLE RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-1332
Practice Address - Country:US
Practice Address - Phone:865-438-8032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-03
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACS029015332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies