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Organization
CHRISTIAN CARE CENTER OF BEDFORD COUNTY, LLC
Active
Organization
CHRISTIAN CARE CENTER OF BEDFORD COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M. CAWOOD-GRAY (RISK CONSULTANT)
(423) 416-9595
Entity
Organization
Contact information
Practice address
835 UNION ST, SHELBYVILLE, TN 37160-2607
(931) 680-2300
(931) 680-2273
Mailing address
835 UNION ST, SHELBYVILLE, TN 37160-2607
(931) 680-2300
(931) 680-2273
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000000006
TN
314000000X
Skilled Nursing Facility
Primary
0000000006
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445171
—
TN
05
—
7440008
—
TN
Enumeration date
08/20/2009
Last updated
10/14/2010
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