# WATERS OF GAINESBORO LLC

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

## Provider details

- **NPI number:** 1891568804
- **Authorized official:** JEFFREY SAX (MANAGER)
- **Authorized official phone:** (269) 281-4200

## Contact information

- **Practice address:** 1340 N GRUNDY QUARLES HWY, GAINESBORO, TN 38562-6001
- **Practice address phone:** (931) 268-0291
- **Mailing address:** 1340 N GRUNDY QUARLES HWY, GAINESBORO, TN 38562-6001
- **Mailing address phone:** (931) 268-0291

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2023
- **Last updated:** 11/01/2023