Organization
WAYNE CARE NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY L STULTS RN (ADMINISTRATOR)
(931) 722-5832
Entity
Organization
Contact information
Practice address
505 S HIGH ST, WAYNESBORO, TN 38485-2610
(931) 722-5832
(931) 722-6522
Mailing address
505 S HIGH ST, WAYNESBORO, TN 38485-2610
(931) 722-5832
(931) 722-6522
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
277
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440515
—
TN
Enumeration date
05/06/2010
Last updated
05/19/2014
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