Organization
ANDERSONVILLE TN OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RUBINSTEIN (CHIEF FINANCIAL OFFICER)
(212) 444-1991
Entity
Organization
Contact information
Practice address
3382 ANDERSONVILLE HWY, ANDERSONVILLE, TN 37705-3816
(773) 870-7818
Mailing address
23645 MERCANTILE RD STE J, BEACHWOOD, OH 44122-5936
(646) 649-0478
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
02/07/2023
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