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Organization
SHELBY HEALTH SERVICES, LLC
Active
Organization
SHELBY HEALTH SERVICES, LLC
Active
Other names
MidSouth Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF CANTRELL (PRESIDENT)
(423) 478-5953
Entity
Organization
Contact information
Practice address
2380 JAMES RD, MEMPHIS, TN 38127-8806
(901) 358-1707
(901) 358-1788
Mailing address
485 CENTRAL AVE NE, CLEVELAND, TN 37311-5541
(423) 478-5953
(423) 479-0476
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0248
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445436
—
TN
05
—
7440595
—
TN
Enumeration date
05/16/2006
Last updated
12/01/2011
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