Organization
CUMBERLAND RIDGE ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JINGER KAYE LOGGINS RN (EXECUTIVE DIRECTOR)
(931) 456-8688
Entity
Organization
Contact information
Practice address
458 WAYNE AVE, SUITE 100, CROSSVILLE, TN 38555-9220
(931) 456-8666
(931) 456-2355
Mailing address
458 WAYNE AVE, SUITE 100, CROSSVILLE, TN 38555-9220
(931) 456-8666
(931) 456-2355
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
H445619
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445619
—
TN
Enumeration date
05/30/2012
Last updated
05/30/2012
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