Organization
LINCOLN CARE
Active
Other names
Lincoln and Donalson Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN JANE ATCHLEY (ADMINISTRATOR)
(931) 433-6146
Entity
Organization
Contact information
Practice address
501 AMANA AVE, FAYETTEVILLE, TN 37334-3365
(931) 433-6146
(931) 433-0816
Mailing address
501 AMANA AVE, FAYETTEVILLE, TN 37334-3365
(931) 433-6146
(931) 433-0816
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000000159
TN
314000000X
Skilled Nursing Facility
Primary
0000000159
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045173
—
TN
05
—
1452393
—
TN
01
—
3112914
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
05
—
7440054
—
TN
Enumeration date
09/29/2005
Last updated
06/13/2011
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