Organization
LP CLARKSVILLE LLC
Active
Other names
Signature HealthCARE of Clarksville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
198 OLD FARMERS RD, CLARKSVILLE, TN 37043-4032
(931) 358-2900
(931) 358-3821
Mailing address
198 OLD FARMERS RD, CLARKSVILLE, TN 37043-4032
(931) 358-2900
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
191
TN
314000000X
Skilled Nursing Facility
191
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445448
—
TN
05
—
7440143
—
TN
Enumeration date
08/01/2007
Last updated
04/04/2023
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