Organization
CHRISTIAN CARE CENTER OF MILAN, LLC
Active
Other names
CHRISTIAN CARE CENTER OF MEDINA
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M CAWOOD GRAY (DELEGATED OFFICIAL, ACCESS MANAGER)
(423) 557-6116
Entity
Organization
Contact information
Practice address
401 PROMISE WAY LN, MEDINA, TN 38355-6967
(731) 462-0020
(731) 435-3638
Mailing address
2020 NORTHPARK DR STE 2D, JOHNSON CITY, TN 37604-3127
(423) 975-5455
(423) 390-0743
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
10/05/2022
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