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Organization
OLD FOLKS MISSION CENTER,INC.
Active
Organization
OLD FOLKS MISSION CENTER,INC.
Active
Other names
Mission Convalescent Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE CHERRY NHA (ADMINISTRATOR)
(731) 424-2951
Entity
Organization
Contact information
Practice address
118 GLASS ST, JACKSON, TN 38301-4625
(731) 424-2951
(731) 424-7915
Mailing address
118 GLASS ST, JACKSON, TN 38301-4625
(731) 424-2951
(731) 424-7915
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000175
TN
314000000X
Skilled Nursing Facility
Primary
0445447
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440140
—
TN
Enumeration date
07/01/2006
Last updated
02/08/2012
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