Organization
SSC ANDERSONVILLE OPERATING COMPANY LLC
Active
Other names
Norris Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
3382 ANDERSONVILLE HWY, ANDERSONVILLE, TN 37705-3816
(865) 494-0986
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
5
TN
314000000X
Skilled Nursing Facility
Primary
5
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445303 SNF
—
TN
05
—
7440426 ICF
—
TN
Enumeration date
04/02/2007
Last updated
11/11/2020
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