# HUNTSVILLE NH OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Huntsville Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649252560
- **Authorized official:** CARLA D BUTTRAM BSM LNHA (ADMINISTRATOR)
- **Authorized official phone:** (423) 663-3600

## Contact information

- **Practice address:** 287 BAKER ST, HUNTSVILLE, TN 37756-3444
- **Practice address phone:** (423) 663-3600
- **Mailing address:** 287 BAKER ST, HUNTSVILLE, TN 37756-3444
- **Mailing address phone:** (423) 663-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 223 | TN | Yes |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 09/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445288 | — | TN |
| 05 | — | 744-0485 | — | TN |