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Organization
MACON CARE CENTER LLC
Active
Organization
MACON CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKVIA T GLATZER (MEMBER)
(718) 879-3030
Entity
Organization
Contact information
Practice address
309 MAIN ST, RED BOILING SPRINGS, TN 37150-2149
(615) 699-2238
(615) 699-3530
Mailing address
309 MAIN ST, RED BOILING SPRINGS, TN 37150-2149
(615) 699-2238
(615) 699-3530
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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