Organization
STONERIDGE HEALTH CARE, LLC
Active
Other names
Ridgetop Haven Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET PULLEY (ADMINISTRATOR)
(615) 859-5895
Entity
Organization
Contact information
Practice address
2002 GREER RD, GOODLETTSVILLE, TN 37072-7166
(615) 859-5895
(615) 859-3789
Mailing address
PO BOX 379, RIDGETOP, TN 37152-0379
(615) 859-5895
(615) 859-6789
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
215
TN
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
314000000X
Skilled Nursing Facility
215
TN
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440415
—
TN
Enumeration date
11/27/2006
Last updated
10/25/2018
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