BE
BOULEVARD ENT SURGERY CENTER LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
KNOXVILLE, TN
Licensed since
2023
Rate
—
Federal identifiers
NPI registry number1528762671
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients74
Authorized official
NameJANELLE JOHNSON
TitleADMINISTRATIVE DIRECTOR
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