Provider Demographics
NPI:1245015809
Name:SCENIC CITY ASSISTANCE LLC
Entity type:Organization
Organization Name:SCENIC CITY ASSISTANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:GORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-805-9022
Mailing Address - Street 1:5805 LEE HWY STE 302
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3546
Mailing Address - Country:US
Mailing Address - Phone:423-805-9022
Mailing Address - Fax:423-805-9124
Practice Address - Street 1:5805 LEE HWY STE 302
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3546
Practice Address - Country:US
Practice Address - Phone:423-805-9022
Practice Address - Fax:423-805-9124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care