Organization
GRACELAND NURSING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLA PAGE SCANNICCHIO (VP/DIRECTOR OF ACCOUNTING)
(225) 766-3977
Entity
Organization
Contact information
Practice address
1250 FARROW RD, MEMPHIS, TN 38116-7116
(901) 332-7290
(901) 332-7380
Mailing address
1250 FARROW RD, MEMPHIS, TN 38116-7116
(901) 332-7290
(901) 332-7380
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
326
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445331
—
TN
05
—
7440566
—
TN
Enumeration date
07/07/2006
Last updated
08/22/2020
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