Organization
THE WATERS OF SPRINGFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOISHE GUBIN (MEMBER)
(708) 449-1900
Entity
Organization
Contact information
Practice address
704 5TH AVE E, SPRINGFIELD, TN 37172-2604
(615) 384-7977
(615) 382-1023
Mailing address
704 5TH AVE E, SPRINGFIELD, TN 37172-2604
(615) 384-7977
(615) 382-1023
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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