Organization
KDM INC
Active
Other names
Durham-Hensley Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
KATHIE H BALL (PRESIDENT)
(423) 257-6761
Entity
Organization
Contact information
Practice address
55 NURSING HOME RD, CHUCKEY, TN 37641
(423) 257-6761
(423) 257-4936
Mailing address
55 NURSING HOME RD, CHUCKEY, TN 37641
(423) 257-6761
(423) 257-4936
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000000310
TN
314000000X
Skilled Nursing Facility
Primary
0000000310
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445478
—
TN
05
—
7440366
—
TN
Enumeration date
04/04/2006
Last updated
03/06/2008
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