# COLUMBIA TN SNF LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Healthcare and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760979371
- **Authorized official:** MATT NUSSBAUM (MANAGER)
- **Authorized official phone:** (212) 653-8730

## Contact information

- **Practice address:** 1410 TROTWOOD AVE, COLUMBIA, TN 38401
- **Practice address phone:** (931) 388-6443
- **Practice address fax:** (931) 388-9159
- **Mailing address:** 580 5TH AVE STE 1125, NEW YORK, NY 10036-4727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 07/08/2019