Organization
STONECREST ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANETA GAE SHOULDERS LPN (ADMINISTRATOR)
(615) 666-6400
Entity
Organization
Contact information
Practice address
2861 HIGHWAY 52 E, LAFAYETTE, TN 37083-6029
(615) 666-6400
(615) 666-6406
Mailing address
2861 HIGHWAY 52 E, LAFAYETTE, TN 37083-6029
(615) 666-6400
(615) 666-6406
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ACL0000000302
TN
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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