Organization
HICKMAN COMMUNITY HEALTH SERVICES
Active
Other names
Ascension Saint Thomas Hickman Community Nursing Home, Hickman Community Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
LISA R DAVIS (CFO)
(615) 284-6845
Entity
Organization
Contact information
Practice address
135 E SWAN ST, CENTERVILLE, TN 37033-1417
(931) 729-3513
(931) 729-4612
Mailing address
135 E SWAN ST, CENTERVILLE, TN 37033-1417
(931) 729-3513
(931) 729-4612
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0000000132
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440462
—
TN
Enumeration date
09/28/2006
Last updated
08/11/2020
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