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Organization
OVERTON COUNTY HEALTH AND REHAB CENTER
Active
Organization
OVERTON COUNTY HEALTH AND REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER BOULDIN NHA (ADMINISTRATOR)
(931) 823-6403
Entity
Organization
Contact information
Practice address
318 BILBREY ST, LIVINGSTON, TN 38570-1706
(931) 823-6403
(931) 823-7836
Mailing address
318 BILBREY ST, LIVINGSTON, TN 38570-1706
(931) 823-6403
(931) 823-7836
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000000200
TN
314000000X
Skilled Nursing Facility
Primary
0000000200
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445419
—
TN
01
—
106838
SKILLED NURSING FACILITY
TN
05
—
7440219
—
TN
Enumeration date
08/02/2005
Last updated
03/12/2015
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