Organization
BUFFALO RIVER HEALTHCARE LLC
Active
Other names
Perry County Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT HINSON RN (ADMINISTRATOR)
(931) 589-2134
Entity
Organization
Contact information
Practice address
127 EAST BROOKLYN AVENUE, LINDEN, TN 37096-3515
(931) 589-2134
(931) 589-3847
Mailing address
127 EAST BROOKLYN AVENUE, LINDEN, TN 37096-3515
(931) 589-2134
(931) 589-3847
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0000000201
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440536
—
TN
Enumeration date
02/15/2007
Last updated
06/27/2008
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