# MADISONVILLE HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madisonville Health and Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457736332
- **Authorized official:** KENNETH C HART JR. (TREASURER)
- **Authorized official phone:** (423) 584-6755

## Contact information

- **Practice address:** 465 ISBILL RD, MADISONVILLE, TN 37354-2112
- **Practice address phone:** (423) 478-5953
- **Mailing address:** 465 ISBILL RD, MADISONVILLE, TN 37354-2112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0186 | TN | Yes |

## Other

- **Enumeration date:** 07/21/2015
- **Last updated:** 03/28/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445457 | — | TN |
| 05 | — | 7440417 | — | TN |