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Organization
AHF CENTRAL STATES, INC
Active
Organization
AHF CENTRAL STATES, INC
Active
Other names
BELCOURT TERRACE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T HAEMMERLE CPA, INACTIVE (PRESIDENT)
(614) 760-7352
Entity
Organization
Contact information
Practice address
1710 BELCOURT AVE, NASHVILLE, TN 37212-3717
(615) 383-3570
(615) 460-7778
Mailing address
4248 TULLER RD, DUBLIN, OH 43017-5025
(614) 760-7352
(614) 760-7356
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
17940
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
445273
—
KY
05
—
740011
—
TN
Enumeration date
12/02/2005
Last updated
08/22/2020
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