Organization
CLAY COUNTY MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY LYNN MEADOWS (OFFICE MANAGER)
(931) 243-3139
Entity
Organization
Contact information
Practice address
120 PITCOCK LN, CELINA, TN 38551-4058
(931) 243-3139
(931) 243-3169
Mailing address
120 PITCOCK LN, CELINA, TN 38551-4058
(931) 243-3139
(931) 243-3169
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000036
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445445
—
TN
05
—
7440454
—
TN
Enumeration date
02/08/2007
Last updated
08/22/2020
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