Organization
AVE MARIA HOME DBA ST. CLARE HEALTH AND REHAB, LLC
Active
Parent organization
AVE MARIA HOME
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVE MARIA HOME
Authorized official
MS. MARLENE SIEGEL (ASSISTANT EXECUTIVE DIRECTOR)
(901) 386-3211
Entity
Organization
Contact information
Practice address
1755 ELDRIDGE AVE, MEMPHIS, TN 38108-1115
(901) 278-3840
(901) 278-3841
Mailing address
1755 ELDRIDGE AVE, MEMPHIS, TN 38108-1115
(901) 278-3840
(901) 278-3841
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0000000250
TN
314000000X
Skilled Nursing Facility
0000000250
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440538
—
TN
Enumeration date
03/08/2017
Last updated
03/22/2017
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