Organization
STONECREST ASSISTED LIVING FACILITY
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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