# SHELBY HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MidSouth Health & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194776716
- **Authorized official:** MR. JEFF CANTRELL (PRESIDENT)
- **Authorized official phone:** (423) 478-5953

## Contact information

- **Practice address:** 2380 JAMES RD, MEMPHIS, TN 38127-8806
- **Practice address phone:** (901) 358-1707
- **Practice address fax:** (901) 358-1788
- **Mailing address:** 485 CENTRAL AVE NE, CLEVELAND, TN 37311-5541
- **Mailing address phone:** (423) 478-5953
- **Mailing address fax:** (423) 479-0476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0248 | TN | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 12/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445436 | — | TN |
| 05 | — | 7440595 | — | TN |