# JLC BEECHTREE INC

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

## Provider details

- **NPI number:** 1972747152
- **Authorized official:** JOE BROWN (PRESIDENT)
- **Authorized official phone:** (423) 784-6626

## Contact information

- **Practice address:** 240 HOSPITAL LN, JELLICO, TN 37762-4401
- **Practice address phone:** (423) 784-6626
- **Practice address fax:** (423) 784-6802
- **Mailing address:** 345 ROSE ST, P.O. BOX 300, JELLICO, TN 37762-2235
- **Mailing address phone:** (423) 784-6626

## Taxonomy

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

## Other

- **Enumeration date:** 05/01/2009
- **Last updated:** 11/10/2009