# UNITED REGIONAL MEDICAL CENTER NURSING HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124227707
- **Authorized official:** BRENDA VAUGHN (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (931) 461-3425

## Contact information

- **Practice address:** 1001 MCARTHUR ST, MANCHESTER, TN 37355-2419
- **Practice address phone:** (931) 461-3425
- **Practice address fax:** (931) 723-0781
- **Mailing address:** 1001 MCARTHUR ST, MANCHESTER, TN 37355-2419
- **Mailing address phone:** (931) 461-3425
- **Mailing address fax:** (931) 723-0781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0000000033 | TN | Yes |

## Other

- **Enumeration date:** 07/13/2007
- **Last updated:** 07/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445383 | — | TN |