# MIDDLE TENNESSEE BLVD HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boulevard Pines Health & Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043995327
- **Authorized official:** WILLIAM MILLER (MANAGER)
- **Authorized official phone:** (208) 969-0254

## Contact information

- **Practice address:** 1530 MIDDLE TENNESSEE BLVD, MURFREESBORO, TN 37130-5106
- **Practice address phone:** (615) 896-4505
- **Practice address fax:** (615) 895-8544
- **Mailing address:** 1530 MIDDLE TENNESSEE BLVD, MURFREESBORO, TN 37130-5106
- **Mailing address phone:** (615) 896-4505
- **Mailing address fax:** (615) 895-8544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2023
- **Last updated:** 06/15/2023