Organization
NORTHBROOKE HEALTH CARE AND REHAB CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER GORDON BUCKLEY (PTA)
(731) 217-3227
Entity
Organization
Contact information
Practice address
121 PHYSICIANS DR, JACKSON, TN 38305-6011
(731) 664-5050
Mailing address
66 KING DAVID DR, JACKSON, TN 38305-7381
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4834
TN
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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