Organization
CEDAR BREEZE MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HOLBURN NP (NURSE PRACTIONER)
(615) 369-6500
Entity
Organization
Contact information
Practice address
12414 STEWARTS FERRY PIKE, LEBANON, TN 37090-0896
(615) 369-6500
Mailing address
PO BOX 6207, SPARTA, TN 38583-6207
(615) 369-6500
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6357516
TN
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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