Organization
ROCKGATE SENIORS RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUTOYIN TITILAYO OWHE RN MHA D.DIV. (ADMINISTRATOR)
(931) 691-3102
Entity
Organization
Contact information
Practice address
328 CUMBERLAND ST W, COWAN, TN 37318-3112
(931) 962-9777
(931) 962-9911
Mailing address
PO BOX 236, COWAN, TN 37318-0236
(931) 962-9777
(931) 962-9911
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2140
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445588
—
TN
Enumeration date
01/24/2011
Last updated
02/20/2014
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