Provider Demographics
NPI:1336779248
Name:MEADOW VIEW SENIOR LIVING
Entity Type:Organization
Organization Name:MEADOW VIEW SENIOR LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FORGETY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-604-7896
Mailing Address - Street 1:111 ACUFF LN
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:TN
Mailing Address - Zip Code:37716-6892
Mailing Address - Country:US
Mailing Address - Phone:865-494-5400
Mailing Address - Fax:865-494-0110
Practice Address - Street 1:111 ACUFF LN
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716-6892
Practice Address - Country:US
Practice Address - Phone:865-494-5400
Practice Address - Fax:865-494-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-20
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility