Organization
COLUMBIA TN SNF LLC
Active
Other names
Magnolia Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATT NUSSBAUM (MANAGER)
(212) 653-8730
Entity
Organization
Contact information
Practice address
1410 TROTWOOD AVE, COLUMBIA, TN 38401
(931) 388-6443
(931) 388-9159
Mailing address
580 5TH AVE STE 1125, NEW YORK, NY 10036-4727
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
07/08/2019
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