Organization
NATIONAL ASSISTANCE BUREAU, INC.
Active
Other names
Reelfoot Manor
Organization subpart
No
Provider details
NPI number
Authorized official
TYGH A BROGDON (MANAGER)
(770) 650-8773
Entity
Organization
Contact information
Practice address
1034 REELFOOT ST, TIPTONVILLE, TN 38079-1607
(731) 253-6681
(731) 253-8014
Mailing address
1145 HEMBREE RD, ROSWELL, GA 30076-1122
(770) 650-8773
(770) 650-9732
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000151
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445285
—
TN
Enumeration date
11/27/2006
Last updated
09/29/2008
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