Organization
BEDROCKHC AT SPRING MEADOWS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH D NICHOLS (MANAGER)
(813) 777-4663
Entity
Organization
Contact information
Practice address
220 HIGHWAY 76, CLARKSVILLE, TN 37043-4102
(931) 552-0219
(931) 552-9683
Mailing address
220 HIGHWAY 76, CLARKSVILLE, TN 37043-4102
(931) 552-0219
(931) 552-9683
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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