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Organization

HIGHLANDS OF DYERSBURG, LLC

Active
Other names
Highlands of Dyersburg Health & Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
DENNY BARNETT (MEMBER)
(423) 478-5953
Entity
Organization

Contact information

Practice address
350 TICKLE STREET, DYERSBURG, TN 38024
(731) 285-9710
(731) 285-9949
Mailing address
485 CENTRAL AVENUE NE, CLEVELAND, TN 37311
(423) 478-5953
(423) 472-6283

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000000076
TN
314000000X
Skilled Nursing Facility
Primary
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7440397
TN
Enumeration date
02/23/2007
Last updated
06/17/2009
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