# NORTHBROOKE HEALTH CARE AND REHAB CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023315769
- **Authorized official:** GINGER GORDON BUCKLEY (PTA)
- **Authorized official phone:** (731) 217-3227

## Contact information

- **Practice address:** 121 PHYSICIANS DR, JACKSON, TN 38305-6011
- **Practice address phone:** (731) 664-5050
- **Mailing address:** 66 KING DAVID DR, JACKSON, TN 38305-7381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 4834 | TN | Yes |

## Other

- **Enumeration date:** 02/15/2011
- **Last updated:** 02/15/2011