Organization
COLLIERVILLE NURSING AND REHABILITATION LLC
Active
Other names
Collierville Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICK VUJANOVIC (CEO)
(502) 667-8150
Entity
Organization
Contact information
Practice address
490 W POPLAR AVE, COLLIERVILLE, TN 38017-2538
(901) 854-8506
Mailing address
2100 CHEROKEE RIDGE WAY STE 100, LOUISVILLE, KY 40205-1600
(502) 667-8150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/07/2018
Last updated
10/09/2024
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