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Organization

HENDERSON RESIDENTIAL, LLC

Active
Other names
Southern Oaks Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE TIMOTHY SCHADE (MANAGER)
(573) 471-1113
Entity
Organization

Contact information

Practice address
558 WHITE AVE, HENDERSON, TN 38340-1504
(731) 983-3200
Mailing address
558 WHITE AVE, HENDERSON, TN 38340-1504

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
05/28/2006
Last updated
03/10/2026
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