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Organization
MID-SOUTH HEALTH SERVICES, LLC
Active
Organization
MID-SOUTH HEALTH SERVICES, LLC
Active
Other names
Ashton Place Health & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF CANTRELL (CFO)
(423) 478-5953
Entity
Organization
Contact information
Practice address
3030 WALNUT GROVE RD, MEMPHIS, TN 38111-3508
(901) 458-1146
Mailing address
485 CENTRAL AVE NE, CLEVELAND, TN 37311-5541
(423) 478-5953
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000252
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445118
—
TN
05
—
7440442
—
TN
Enumeration date
09/26/2006
Last updated
12/01/2011
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