# DELTA REHAB

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

## Provider details

- **NPI number:** 1558483339
- **Authorized official:** MR. JOHN BURCH PT (DIRECTOR)
- **Authorized official phone:** (931) 728-5479

## Contact information

- **Practice address:** 852 INTERSTATE DR, MANCHESTER, TN 37355-3104
- **Practice address phone:** (931) 728-5479
- **Practice address fax:** (931) 728-9937
- **Mailing address:** 115 AUTUMN LN, TULLAHOMA, TN 37388-5302
- **Mailing address phone:** (931) 455-1015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | OTA0000000181 | TN | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 08/22/2020