Organization
CHRISTIAN CARE CENTER OF BEDFORD COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M. CAWOOD-GRAY (RISK CONSULTANT)
(423) 416-9595
Entity
Organization
Contact information
Practice address
835 UNION ST, SHELBYVILLE, TN 37160-2607
(931) 680-2300
(931) 680-2273
Mailing address
835 UNION ST, SHELBYVILLE, TN 37160-2607
(931) 680-2300
(931) 680-2273
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000000006
TN
314000000X
Skilled Nursing Facility
Primary
0000000006
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445171
—
TN
05
—
7440008
—
TN
Enumeration date
08/20/2009
Last updated
10/14/2010
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