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Organization
IMPERIAL MANOR CONVALESCENT CENTER LLC
Active
Organization
IMPERIAL MANOR CONVALESCENT CENTER LLC
Active
Parent organization
VANGUARD HEALTHCARE, LLC
Other names
Imperial Gardens Health and Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
VANGUARD HEALTHCARE, LLC
Authorized official
MR. KIRK F HEBERT (SECRETARY)
(615) 250-7100
Entity
Organization
Contact information
Practice address
306 W DUE WEST AVE, MADISON, TN 37115-4511
(615) 865-5001
(615) 865-0321
Mailing address
6 CADILLAC DR, SUITE 310, BRENTWOOD, TN 37027-5080
(615) 250-7100
(615) 250-7102
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000053
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445047
—
TN
05
—
7440514
—
TN
Enumeration date
01/13/2006
Last updated
11/04/2009
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