Lakeway Achievement Center

NPI 1215073887 - Clinic/Center - 261QD1600X

NPI Details
NPI 1215073887
Enumeration Date 01/30/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BONNIE LOU BONNIE
Position DIRECTOR OF OPERATIONS
Phone (423) 586-2196
Fax (423) 317-8880
Practice Location
320 INDUSTRIAL AVE
MORRISTOWN TN, 37813-1106, US
Phone (423) 586-2196
Fax (423) 317-8880
Business Location
320 INDUSTRIAL AVE
MORRISTOWN TN, 37813-1106, US
Phone (423) 586-2196
Fax (423) 317-8880
Toxanomy
Taxonomy Code 261QD1600X
License State
License Number
Remove 1215073887 NPI Number
 

According to our database, Lakeway Achievement Center NPI is 1215073887, taxonomy code is 261QD1600X Lakeway Achievement Center physically located at 320 Industrial Ave, Morristown TN, 37813-1106. NPI Number 1033115704 has the healthcare provider type.

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1215073887 NPI number is provided on an as is basis without warranty of any kind. 1215073887 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeway Achievement Center are for informational purposes only.