Provider Demographics
NPI:1629330923
Name:SERVOLUTION HEALTH SERVICES INC
Entity Type:Organization
Organization Name:SERVOLUTION HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF BOARD
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-489-8244
Mailing Address - Street 1:181 POWELL VALLEY SCHOOL LN
Mailing Address - Street 2:
Mailing Address - City:SPEEDWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37870-7431
Mailing Address - Country:US
Mailing Address - Phone:423-419-5070
Mailing Address - Fax:423-869-0081
Practice Address - Street 1:181 POWELL VALLEY SCHOOL LN
Practice Address - Street 2:
Practice Address - City:SPEEDWELL
Practice Address - State:TN
Practice Address - Zip Code:37870-7431
Practice Address - Country:US
Practice Address - Phone:423-419-5070
Practice Address - Fax:423-869-0081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health