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Organization
DELTA REHAB
Active
Organization
DELTA REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BURCH PT (DIRECTOR)
(931) 728-5479
Entity
Organization
Contact information
Practice address
852 INTERSTATE DR, MANCHESTER, TN 37355-3104
(931) 728-5479
(931) 728-9937
Mailing address
115 AUTUMN LN, TULLAHOMA, TN 37388-5302
(931) 455-1015
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA0000000181
TN
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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