# DECATUR HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grace Healthcare of Decatur
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083132641
- **Authorized official:** CRAIG TAYLOR (CHIEF MANAGER)
- **Authorized official phone:** (423) 424-1842

## Contact information

- **Practice address:** 322 RIVER ROAD, DECATUR, TN 38322
- **Practice address phone:** (423) 334-3002
- **Mailing address:** 801 BROAD STREET, SUITE 300, CHATTANOOGA, TN 37402
- **Mailing address phone:** (423) 424-1880

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2017
- **Last updated:** 09/05/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0 | NOT MEDICARE OR MEDICAID CERTIFIED YET | — |