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Organization

WATERS OF GAINESBORO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY SAX (MANAGER)
(269) 281-4200
Entity
Organization

Contact information

Practice address
1340 N GRUNDY QUARLES HWY, GAINESBORO, TN 38562-6001
(931) 268-0291
Mailing address
1340 N GRUNDY QUARLES HWY, GAINESBORO, TN 38562-6001
(931) 268-0291

Taxonomy

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

Other

Enumeration date
11/01/2023
Last updated
11/01/2023
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