# DICKSON HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1235292871
- **Authorized official:** TYGH BROGDON (MANAGER)
- **Authorized official phone:** (770) 650-8773

## Contact information

- **Practice address:** DICKSON HEALTHCARE CENTER, 901 NORTH CHARLOTTE STREET, DICKSON, TN 37055
- **Practice address phone:** (615) 446-8150
- **Practice address fax:** (615) 446-7082
- **Mailing address:** 1145 HEMBREE RD, ROSWELL, GA 30076-1122
- **Mailing address phone:** (770) 650-8773
- **Mailing address fax:** (770) 650-9732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0000000072 | TN | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 09/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445477 | — | TN |