# MCKENDREE VILLAGE, INC.

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

## Provider details

- **NPI number:** 1053596437
- **Authorized official:** NELLIE COLE CPA (CFO)
- **Authorized official phone:** (615) 871-8286

## Contact information

- **Practice address:** 4347 LEBANON PIKE, HERMITAGE, TN 37076-1243
- **Practice address phone:** (615) 889-6990
- **Practice address fax:** (615) 871-8699
- **Mailing address:** 4347 LEBANON PIKE, HERMITAGE, TN 37076-1243
- **Mailing address phone:** (615) 889-6990
- **Mailing address fax:** (615) 871-8699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 58 | TN | — |
| 314000000X | Skilled Nursing Facility | 58 | TN | Yes |

## Other

- **Enumeration date:** 01/04/2008
- **Last updated:** 04/07/2009