Organization
WATERS OF GALLATIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLISKO (AUTHORIZED OFFICIAL)
(708) 449-1900
Entity
Organization
Contact information
Practice address
555 E BLEDSOE ST, GALLATIN, TN 37066-3003
(615) 502-0599
Mailing address
555 E BLEDSOE ST, GALLATIN, TN 37066-3003
(615) 502-0599
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/08/2016
Last updated
03/22/2023
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