Organization
JEFFERSON COUNTY NURSING HOME
Active
Parent organization
JEFFERSON COUNTY NURSING HOME
Other names
Jefferson Park At White Pine
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON COUNTY NURSING HOME
Authorized official
MR. ROGER LOUIS MYNATT LNHA (ADMINISTRATOR)
(865) 397-3163
Entity
Organization
Contact information
Practice address
407 LAURA LEE DR, WHITE PINE, TN 37890
(865) 327-4100
Mailing address
914 INDUSTRIAL PARK RD, DANDRIDGE, TN 37725-4700
(865) 397-3163
(865) 397-3333
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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