Organization
ROAN HIGHLANDS MEDICAL INVESTORS LLC
Active
Other names
Roan Highlands Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY R LEWIS (CHIEF MANAGER)
(423) 975-5455
Entity
Organization
Contact information
Practice address
146 BUCK CREEK RD, ROAN MOUNTAIN, TN 37687
(423) 772-0161
(423) 772-3481
Mailing address
146 BUCK CREEK RD, ROAN MOUNTAIN, TN 37687
(423) 772-0161
(423) 772-3481
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000000361
TN
314000000X
Skilled Nursing Facility
Primary
0000000361
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445396
—
TN
05
—
7440586
—
TN
Enumeration date
12/01/2005
Last updated
06/12/2008
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