# GRACELAND NURSING CENTER, LLC

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

## Provider details

- **NPI number:** 1063445914
- **Authorized official:** MS. MARLA PAGE SCANNICCHIO (VP/DIRECTOR OF ACCOUNTING)
- **Authorized official phone:** (225) 766-3977

## Contact information

- **Practice address:** 1250 FARROW RD, MEMPHIS, TN 38116-7116
- **Practice address phone:** (901) 332-7290
- **Practice address fax:** (901) 332-7380
- **Mailing address:** 1250 FARROW RD, MEMPHIS, TN 38116-7116
- **Mailing address phone:** (901) 332-7290
- **Mailing address fax:** (901) 332-7380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 326 | TN | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445331 | — | TN |
| 05 | — | 7440566 | — | TN |