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Organization

MILLINGTON OPCO LP

Active
Other names
MILLINGTON HEALTH CARE CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MOSHE KELMAN (CEO)
(786) 987-3707
Entity
Organization

Contact information

Practice address
5081 EASLEY ST, MILLINGTON, TN 38053-2105
(901) 873-3290
(901) 873-0531
Mailing address
5081 EASLEY ST, MILLINGTON, TN 38053-2105
(901) 873-3290
(901) 873-0531

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000316
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044-5425
TN
05
744-0556
TN
Enumeration date
12/22/2005
Last updated
12/22/2023
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