Organization
OLD FOLKS MISSION CENTER,INC.
Active
Other names
Mission Convalescent Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE CHERRY NHA (ADMINISTRATOR)
(731) 424-2951
Entity
Organization
Contact information
Practice address
118 GLASS ST, JACKSON, TN 38301-4625
(731) 424-2951
(731) 424-7915
Mailing address
118 GLASS ST, JACKSON, TN 38301-4625
(731) 424-2951
(731) 424-7915
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000175
TN
314000000X
Skilled Nursing Facility
Primary
0445447
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440140
—
TN
Enumeration date
07/01/2006
Last updated
02/08/2012
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