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Organization
DICKSON OPERATOR LLC
Active
Organization
DICKSON OPERATOR LLC
Active
Other names
Dickson Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE K. PATTERSON (ADMINISTRATOR)
(615) 446-5171
Entity
Organization
Contact information
Practice address
901 N CHARLOTTE ST, DICKSON, TN 37055-1010
(615) 446-5171
(615) 446-7082
Mailing address
901 N CHARLOTTE ST, DICKSON, TN 37055-1010
(615) 446-5171
(615) 446-7082
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000072
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445477 (SNF)
—
TN
05
—
7440050 (ICF)
—
TN
Enumeration date
03/27/2008
Last updated
01/23/2015
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