# REGIONAL MED EXTENDED CARE HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regional One Health Extended Care Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790197945
- **Authorized official:** MARK KELLY (ADMINISTRATOR)
- **Authorized official phone:** (901) 515-3030

## Contact information

- **Practice address:** 890 MADISON AVE, 4TH FLOOR, MEMPHIS, TN 38103-3409
- **Practice address phone:** (901) 515-3000
- **Mailing address:** 890 MADISON AVE, 4TH FLOOR, MEMPHIS, TN 38103-3409
- **Mailing address phone:** (901) 515-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | 186 | TN | Yes |

## Other

- **Enumeration date:** 05/22/2014
- **Last updated:** 01/23/2015