Organization
HILLCREST HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD PARKER HIGHTOWER (DIRECTOR)
(479) 471-9797
Entity
Organization
Contact information
Practice address
111 PEMBERTON DR, ASHLAND CITY, TN 37015-1353
(615) 792-9154
(615) 792-7664
Mailing address
111 PEMBERTON DR, ASHLAND CITY, TN 37015-1353
(615) 792-9154
(615) 792-7664
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
318
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0445316
MEDICAID SKILLED
TN
05
—
7440577
—
TN
Enumeration date
09/08/2008
Last updated
09/08/2008
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