# CROSSVILLE TN OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WyndRidge Health & Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114854585
- **Authorized official:** JOSEPH LIEBERMAN (VICE PRESIDENT OF PROCUREMENT)
- **Authorized official phone:** (516) 855-5504

## Contact information

- **Practice address:** 456 WAYNE AVE, CROSSVILLE, TN 38555-4206
- **Practice address phone:** (931) 484-6129
- **Mailing address:** 456 WAYNE AVE, CROSSVILLE, TN 38555-4206
- **Mailing address phone:** (931) 484-6129

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2026
- **Last updated:** 05/07/2026