Organization
WAYNE COUNTY NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE FAYE WRIGHT LIC ADMINISTRATOR ST (ADMINISTRATOR)
(931) 722-3641
Entity
Organization
Contact information
Practice address
104 JV MANGUBAT DR, WAYNESBORO, TN 38485-2439
(931) 722-3641
(931) 722-7215
Mailing address
PO BOX 510, WAYNESBORO, TN 38485-0510
(931) 722-3641
(931) 722-7215
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0000000278
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440200
—
TN
Enumeration date
10/04/2005
Last updated
04/16/2008
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