# BOLIVAR HEALTH & REHABILITATION LLC

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

## Provider details

- **NPI number:** 1912896234
- **Authorized official:** JOHN SHEEHAN (PRESIDENT)
- **Authorized official phone:** (423) 618-1488

## Contact information

- **Practice address:** 10160 HIGHWAY 64, BOLIVAR, TN 38008-4235
- **Practice address phone:** (731) 212-4822
- **Mailing address:** 3915 ADKISSON DR NW, CLEVELAND, TN 37312-2821
- **Mailing address phone:** (423) 641-5510

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2025
- **Last updated:** 07/01/2025