Organization
COUNTY OF OBION
Active
Other names
ocnr
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA CHILDRESS RN (ADMINISTRATOR)
(731) 885-9065
Entity
Organization
Contact information
Practice address
1084 E COUNTY HOME RD, UNION CITY, TN 38261-8006
(731) 885-9065
(731) 885-0669
Mailing address
1084 E COUNTY HOME RD, UNION CITY, TN 38261-8006
(731) 885-9065
(731) 885-0669
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0000000196
TN
314000000X
Skilled Nursing Facility
4445508
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440159
—
TN
Enumeration date
03/16/2007
Last updated
02/19/2025
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