Provider Demographics
NPI:1669693396
Name:CHATTANOOGA ASSISTED LIVING, LTD
Entity type:Organization
Organization Name:CHATTANOOGA ASSISTED LIVING, LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO AND PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:DASPIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-362-3521
Mailing Address - Street 1:7127 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-6790
Mailing Address - Country:US
Mailing Address - Phone:423-899-8133
Mailing Address - Fax:423-899-5197
Practice Address - Street 1:7127 LEE HWY
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-6790
Practice Address - Country:US
Practice Address - Phone:423-899-8133
Practice Address - Fax:423-899-5197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNALC0000000063310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility