Organization
MCMINN MEMORIAL NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY D MORRIS (PRESIDENT/OWNER)
(423) 263-3779
Entity
Organization
Contact information
Practice address
886 HIGHWAY 411 N, ETOWAH, TN 37331-1912
(423) 263-3600
(423) 263-3607
Mailing address
886 HIGHWAY 411 N, ETOWAH, TN 37331-1912
(423) 263-3600
(423) 263-3607
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0000000165
TN
314000000X
Skilled Nursing Facility
0000000165
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445277
—
TN
01
—
1000652
BCBS OF TENNESSEE
TN
05
—
7440131
—
TN
Enumeration date
11/14/2005
Last updated
01/28/2008
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