Organization
ISLAND PARK BEACH HOLDINGS LLC
Active
Other names
West Tennessee Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS S RODRIGUEZ (MANAGER)
(858) 798-5700
Entity
Organization
Contact information
Practice address
597 W FOREST AVE, JACKSON, TN 38301-3935
(731) 300-4800
(731) 300-4862
Mailing address
597 W FOREST AVE, JACKSON, TN 38301-3935
(731) 300-4800
(731) 300-4862
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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