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Organization

CROSSVILLE TN OPCO LLC

Active
Other names
WyndRidge Health & Rehab Center
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH LIEBERMAN (VICE PRESIDENT OF PROCUREMENT)
(516) 855-5504
Entity
Organization

Contact information

Practice address
456 WAYNE AVE, CROSSVILLE, TN 38555-4206
(931) 484-6129
Mailing address
456 WAYNE AVE, CROSSVILLE, TN 38555-4206
(931) 484-6129

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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