Organization
WAYNESBORO HEALTHCARE, LLC
Active
Other names
Waynesboro Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH C HART JR. (TREASURER)
(423) 584-6755
Entity
Organization
Contact information
Practice address
104 JV MANGUBAT DR, WAYNESBORO, TN 38485-2439
(931) 722-3641
Mailing address
104 JV MANGUBAT DR, WAYNESBORO, TN 38485-2439
(931) 722-3641
(931) 722-7215
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000278
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445518
—
TN
05
—
7440620
—
TN
Enumeration date
06/16/2014
Last updated
03/28/2019
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