Organization
CORDOVA HEALTHCARE, LLC
Active
Other names
GRACE HEALTHCARE OF CORDOVA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG D. TAYLOR (CHIEF MANAGER)
(423) 308-1845
Entity
Organization
Contact information
Practice address
955 N GERMANTOWN PKWY, CORDOVA, TN 38018-6215
(901) 754-1393
(336) 433-7468
Mailing address
955 N GERMANTOWN PKWY, CORDOVA, TN 38018-6215
(901) 754-1393
(336) 433-7468
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000238
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445218
—
TN
05
—
7440486
—
TN
Enumeration date
11/08/2007
Last updated
10/30/2014
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