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Organization

HUMBOLDT NURSING HOME, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GLENDA MCCARTNEY (ADMINISTRATOR)
(731) 784-0545
Entity
Organization

Contact information

Practice address
3515 CHERE CAROL RD, HUMBOLDT, TN 38343-3638
(731) 784-0545
(731) 784-0663
Mailing address
3515 CHERE CAROL RD, HUMBOLDT, TN 38343-3638
(731) 784-0545
(731) 784-0663

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000087
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0445441
TN
05
7440537
TN
Enumeration date
07/04/2006
Last updated
09/11/2025
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