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Organization
LINCOLN CARE
Active
Organization
LINCOLN CARE
Active
Other names
Lincoln and Donalson Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN JANE ATCHLEY (ADMINISTRATOR)
(931) 433-6146
Entity
Organization
Contact information
Practice address
501 AMANA AVE, FAYETTEVILLE, TN 37334-3365
(931) 433-6146
(931) 433-0816
Mailing address
501 AMANA AVE, FAYETTEVILLE, TN 37334-3365
(931) 433-6146
(931) 433-0816
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000000159
TN
314000000X
Skilled Nursing Facility
Primary
0000000159
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045173
—
TN
05
—
1452393
—
TN
01
—
3112914
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
05
—
7440054
—
TN
Enumeration date
09/29/2005
Last updated
06/13/2011
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