Larry Wayne Bernard
Skilled Nursing Facility in Knoxville, TN. Individual provider (NPI-1).
NPI number1235239807
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1235239807
- Entity type
- Individual (NPI-1)
- Name
- Mr. Larry Wayne Bernard
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 000357 | TN | Yes |
Practice location
120 Cavette Hill LnKnoxville, TN 37934-6673
Phone 865-777-4000
Mailing address
7028 Chartwell RdKnoxville, TN 37931-2538
Phone 865-938-0567
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All 35 Skilled Nursing Facility providers in Knoxville · All 17,212 providers in Knoxville
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