is a Skilled Nursing Facility in Lebanon, Tennessee. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for is 1093925612. The last update date is .
's current location address is Po Box 2789, Lebanon, Tennessee. You can contact this provider via phone number 6154441836 and fax number 6154531691. The mailing address for is Po Box 2789, Lebanon, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 2789, Lebanon, Tennessee |
| Phone Number | 6154441836 |
| Fax Number | 6154531691 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1093925612 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 2789 |
|---|---|
| City | Lebanon |
| State | Tennessee (TN) |
| Post Code | 370882789 |
| Phone Number | 6154441836 |
| Fax Number | 6154531691 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 302 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 445154 | TN | -- |
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