Organization
DECATUR HEALTHCARE, LLC
Active
Other names
Grace Healthcare of Decatur
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG TAYLOR (CHIEF MANAGER)
(423) 424-1842
Entity
Organization
Contact information
Practice address
322 RIVER ROAD, DECATUR, TN 38322
(423) 334-3002
Mailing address
801 BROAD STREET, SUITE 300, CHATTANOOGA, TN 37402
(423) 424-1880
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NOT MEDICARE OR MEDICAID CERTIFIED YET
—
Enumeration date
09/05/2017
Last updated
09/05/2017
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