# TN DYER OP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871058883
- **Authorized official:** CHAIM LEIBOWITZ (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (917) 804-1661

## Contact information

- **Practice address:** 350 E TICKLE ST, DYERSBURG, TN 38024-3118
- **Practice address phone:** (731) 285-9710
- **Mailing address:** 548 CEDARWOOD DR, CEDARHURST, NY 11516-1010
- **Mailing address phone:** (901) 804-1661

## Taxonomy

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

## Other

- **Enumeration date:** 02/04/2019
- **Last updated:** 02/04/2019