Organization
JLC BEECHTREE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE BROWN (PRESIDENT)
(423) 784-6626
Entity
Organization
Contact information
Practice address
240 HOSPITAL LN, JELLICO, TN 37762-4401
(423) 784-6626
(423) 784-6802
Mailing address
345 ROSE ST, P.O. BOX 300, JELLICO, TN 37762-2235
(423) 784-6626
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/01/2009
Last updated
11/10/2009
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