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Organization

THE HEAVENLY OAK ADULT DAY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BARBARA RICE HUDSON (OWNER/DIRECTOR)
(731) 548-6555
Entity
Organization

Contact information

Practice address
8 OAK STREET, STANTON, TN 38069-3417
(731) 548-6555
Mailing address
2695 STANTON KOKO RD, STANTON, TN 38069-3417
(731) 548-6704

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
TN

Other

Enumeration date
12/07/2012
Last updated
12/07/2012
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