Organization
COVINGTON TN OPCO, LLC
Active
Other names
Magnolia Creek Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICK VUJANOVIC (CEO)
(502) 667-8150
Entity
Organization
Contact information
Practice address
1992 HIGHWAY 51 S, COVINGTON, TN 38019-3623
(901) 476-1820
Mailing address
2100 CHEROKEE RIDGE WAY STE 100, LOUISVILLE, KY 40205-1600
(502) 667-8150
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
TN
314000000X
Skilled Nursing Facility
Primary
—
TN
385H00000X
Respite Care
—
TN
Other
Enumeration date
04/10/2018
Last updated
10/09/2024
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