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Organization

CONSULATE MANAGEMENT

Active
Other names
The Stratford House
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH JAMES STONEBROOK (EXECUTIVE DIRECTOR)
(423) 892-1716
Entity
Organization

Contact information

Practice address
8249 STANDIFER GAP RD, CHATTANOOGA, TN 37421-5046
(423) 892-1716
(423) 892-3709
Mailing address
8249 STANDIFER GAP RD, CHATTANOOGA, TN 37421-5046
(423) 892-1716
(423) 892-3709

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000114
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0445205
TN
05
7440547
TN
Enumeration date
03/02/2007
Last updated
08/08/2008
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