Organization
ARBOR PLACE OF PURYEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SELLS (PRESIDENT)
(636) 536-5365
Entity
Organization
Contact information
Practice address
223 W CHESTNUT ST, PURYEAR, TN 38251-5800
(731) 247-3205
(731) 247-5205
Mailing address
223 W CHESTNUT ST, PO BOX 306, PURYEAR, TN 38251-5800
(731) 247-3205
(731) 247-5205
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000130
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440575
—
TN
Enumeration date
02/01/2007
Last updated
08/22/2020
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