Provider First Line Business Practice Location Address:
3425 KNIGHT DR
Provider Second Line Business Practice Location Address:
WHITES CREEK WELLNESS AND REHABILITATION CENTER
Provider Business Practice Location Address City Name:
WHITES CREEK
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37189-9189
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-406-2167
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/26/2011