Organization
JEFFERSON OPERATOR LLC
Active
Other names
Jefferson City Health & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER)
(502) 429-8062
Entity
Organization
Contact information
Practice address
283 W BROADWAY BLVD, JEFFERSON CITY, TN 37760-2302
(865) 475-9037
(865) 475-5386
Mailing address
7400 NEW LA GRANGE RD, SUITE 100, LOUISVILLE, KY 40222-4870
(502) 429-8062
(502) 429-0650
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
137
TN
Other
Enumeration date
11/13/2006
Last updated
04/13/2020
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