# KDM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Durham-Hensley Health and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124080221
- **Authorized official:** KATHIE H BALL (PRESIDENT)
- **Authorized official phone:** (423) 257-6761

## Contact information

- **Practice address:** 55 NURSING HOME RD, CHUCKEY, TN 37641
- **Practice address phone:** (423) 257-6761
- **Practice address fax:** (423) 257-4936
- **Mailing address:** 55 NURSING HOME RD, CHUCKEY, TN 37641
- **Mailing address phone:** (423) 257-6761
- **Mailing address fax:** (423) 257-4936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0000000310 | TN | — |
| 314000000X | Skilled Nursing Facility | 0000000310 | TN | Yes |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 03/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445478 | — | TN |
| 05 | — | 7440366 | — | TN |