JOHN M REED HOME FOR THE AGED, INC
Assisted Living Facility
Limestone, Tennessee
Provider NPI: 1295726743
Organization Information:Organization Name: JOHN M REED HOME FOR THE AGED, INC
Practice Location:
124 JOHN M REED RD LIMESTONE, TN 37681 US
Tel: 423-257-6122 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
124 JOHN M REED RD LIMESTONE, TN 37681 US
Tel: 423-257-6122 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | TN | ACL0000000004 |
X | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | TN | 0000000293 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7440107 | TN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin