Organization
GRACELAND NURSING OPERATOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL LICHTSCHEIN (OPERATOR)
(901) 332-7290
Entity
Organization
Contact information
Practice address
1250 FARROW RD, MEMPHIS, TN 38116-7116
(901) 332-7290
Mailing address
1250 FARROW RD, MEMPHIS, TN 38116-7116
(901) 332-7290
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
326
TN
Other
Enumeration date
05/08/2017
Last updated
03/07/2018
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