# ELK RIVER HEALTH & NURSING CENTER OF FAYETTEVILLE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1477011468
- **Authorized official:** JOHN SHEEHAN (TRUSTEE)
- **Authorized official phone:** (423) 618-1488

## Contact information

- **Practice address:** 4081 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-2674
- **Practice address phone:** (931) 433-9973
- **Mailing address:** 3915 ADKISSON DR NW, CLEVELAND, TN 37312-2821
- **Mailing address phone:** (423) 834-3188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2019
- **Last updated:** 06/07/2022