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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