# OLD FOLKS MISSION CENTER,INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mission Convalescent Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689603755
- **Authorized official:** MR. DUANE CHERRY NHA (ADMINISTRATOR)
- **Authorized official phone:** (731) 424-2951

## Contact information

- **Practice address:** 118 GLASS ST, JACKSON, TN 38301-4625
- **Practice address phone:** (731) 424-2951
- **Practice address fax:** (731) 424-7915
- **Mailing address:** 118 GLASS ST, JACKSON, TN 38301-4625
- **Mailing address phone:** (731) 424-2951
- **Mailing address fax:** (731) 424-7915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0000175 | TN | — |
| 314000000X | Skilled Nursing Facility | 0445447 | TN | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 02/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7440140 | — | TN |