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Organization
DECATUR HEALTHCARE, LLC
Active
Organization
DECATUR HEALTHCARE, LLC
Active
Other names
Grace Healthcare of Decatur
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG TAYLOR (CHIEF MANAGER)
(423) 424-1842
Entity
Organization
Contact information
Practice address
322 RIVER ROAD, DECATUR, TN 38322
(423) 334-3002
Mailing address
801 BROAD STREET, SUITE 300, CHATTANOOGA, TN 37402
(423) 424-1880
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NOT MEDICARE OR MEDICAID CERTIFIED YET
—
Enumeration date
09/05/2017
Last updated
09/05/2017
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