Organization
MCMINNVILLE BOARDING HOME FOR THE ELDERLY
Active
Organization
MCMINNVILLE BOARDING HOME FOR THE ELDERLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALMA DEAN MCCORMICK (OWNERS)
(931) 473-4760
Entity
Organization
Contact information
Practice address
345 GARFIELD ST., MCMINNVILLE, TN 37110
(931) 473-4760
(931) 474-8765
Mailing address
345 GARFIELD ST., MCMINNVILLE, TN 37110
(931) 473-4760
(931) 474-8765
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ACL0000000170
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445153
—
TN
Enumeration date
11/18/2009
Last updated
11/18/2009
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