Organization
REELFOOT OPERATOR LLC
Active
Other names
Reelfoot Manor Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A. CHAMBERS (ADMINISTRATOR)
(731) 253-6681
Entity
Organization
Contact information
Practice address
1034 REELFOOT ST, TIPTONVILLE, TN 38079-1607
(731) 253-6681
(731) 253-8014
Mailing address
1034 REELFOOT ST, TIPTONVILLE, TN 38079-1607
(731) 253-6681
(731) 253-8014
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000151
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445285 (SNF)
—
TN
05
—
7440374 (ICF)
—
TN
Enumeration date
03/28/2008
Last updated
01/23/2015
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