# ADAMSVILLE HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tri County Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063605681
- **Authorized official:** MRS. ALICE MARIE CLARK DANKS CPA (VP OF FINANCE)
- **Authorized official phone:** (423) 308-1845

## Contact information

- **Practice address:** 409 PARK AVE, ADAMSVILLE, TN 38310-2461
- **Practice address phone:** (731) 632-3301
- **Mailing address:** PO BOX 325, ADAMSVILLE, TN 38310-0325
- **Mailing address phone:** (731) 632-3301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0144 | TN | Yes |

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 04/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445397 | — | TN |
