Organization
WILLOWS OF JACKSON , LLC
Active
Organization
WILLOWS OF JACKSON , LLC
Active
Other names
The Willows, The Willows of Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY LEE NICHOLSON II (OWNER)
(731) 415-9368
Entity
Organization
Contact information
Practice address
447 CHEYENNE DR, JACKSON, TN 38305-3571
(731) 300-4688
(731) 300-4698
Mailing address
19870 MAIN ST E, HUNTINGDON, TN 38344-3927
(731) 415-9368
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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