# HEALTH SERVICES MANCHESTER, LLC

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

## Provider details

- **NPI number:** 1538467717
- **Authorized official:** KENNETH C HART JR. (TREASURER)
- **Authorized official phone:** (423) 584-6755

## Contact information

- **Practice address:** 811 KEYLON STREET, MANCHESTER, TN 37355-2419
- **Practice address phone:** (931) 461-3425
- **Mailing address:** 485 CENTRAL AVE NE, CLEVELAND, TN 37311-5541
- **Mailing address phone:** (423) 478-5953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0000000033 | TN | Yes |

## Other

- **Enumeration date:** 03/11/2011
- **Last updated:** 03/28/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445383 | — | TN |
| 05 | — | 7440354 | — | TN |