# ANDERSONVILLE TN HOLDCO LLC

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

## Provider details

- **NPI number:** 1184367781
- **Authorized official:** DAVID HERSKOWITZ (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (212) 444-1991

## Contact information

- **Practice address:** 3382 ANDERSONVILLE HWY, ANDERSONVILLE, TN 37705-3816
- **Practice address phone:** (770) 870-7818
- **Mailing address:** 23645 MERCANTILE RD STE J, BEACHWOOD, OH 44122-5936

## Taxonomy

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

## Other

- **Enumeration date:** 04/20/2022
- **Last updated:** 02/08/2023