Organization
HUNTSVILLE NH OPERATIONS, LLC
Active
Other names
Huntsville Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA D BUTTRAM BSM LNHA (ADMINISTRATOR)
(423) 663-3600
Entity
Organization
Contact information
Practice address
287 BAKER ST, HUNTSVILLE, TN 37756-3444
(423) 663-3600
Mailing address
287 BAKER ST, HUNTSVILLE, TN 37756-3444
(423) 663-3600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
223
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445288
—
TN
05
—
744-0485
—
TN
Enumeration date
11/16/2005
Last updated
09/14/2012
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