Organization
WINCHESTER HEALTHCARE, LLC
Active
Other names
Willows of Winchester Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS D JOHNSON (CHIEF MANAGER)
(423) 478-5953
Entity
Organization
Contact information
Practice address
32 MEMORIAL DR, WINCHESTER, TN 37398-2400
(931) 967-0200
Mailing address
32 MEMORIAL DR, WINCHESTER, TN 37398-2400
(931) 967-0200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445319
—
TN
05
—
7440506
—
TN
Enumeration date
09/20/2013
Last updated
03/28/2019
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