Organization
DICKSON HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYGH BROGDON (MANAGER)
(770) 650-8773
Entity
Organization
Contact information
Practice address
DICKSON HEALTHCARE CENTER, 901 NORTH CHARLOTTE STREET, DICKSON, TN 37055
(615) 446-8150
(615) 446-7082
Mailing address
1145 HEMBREE RD, ROSWELL, GA 30076-1122
(770) 650-8773
(770) 650-9732
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000072
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445477
—
TN
Enumeration date
12/18/2006
Last updated
09/29/2008
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