# NORTHBROOKE HEALTHCARE AND REHAB CENTER

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

## Provider details

- **NPI number:** 1477851483
- **Authorized official:** MRS. LOGAN KAY BEASLEY PTA (PHYSICAL THERAPIST ASSISTANT)
- **Authorized official phone:** (731) 225-7130

## Contact information

- **Practice address:** 121 PHYSICIANS DR, JACKSON, TN 38305-6011
- **Practice address phone:** (731) 664-5050
- **Practice address fax:** (731) 668-4890
- **Mailing address:** 121 PHYSICIANS DR, JACKSON, TN 38305-6011
- **Mailing address phone:** (731) 664-5050
- **Mailing address fax:** (731) 668-4890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 4788 | TN | Yes |

## Other

- **Enumeration date:** 03/01/2011
- **Last updated:** 03/01/2011