Organization
DICKSON OPERATOR LLC
Active
Other names
Dickson Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE K. PATTERSON (ADMINISTRATOR)
(615) 446-5171
Entity
Organization
Contact information
Practice address
901 N CHARLOTTE ST, DICKSON, TN 37055-1010
(615) 446-5171
(615) 446-7082
Mailing address
901 N CHARLOTTE ST, DICKSON, TN 37055-1010
(615) 446-5171
(615) 446-7082
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000072
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445477 (SNF)
—
TN
05
—
7440050 (ICF)
—
TN
Enumeration date
03/27/2008
Last updated
01/23/2015
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