TRI-COUNTY CONVALESCENT HOME
Skilled Nursing Facility
Adamsville, Tennessee
Provider NPI: 1114920469
Organization Information:Organization Name: TRI-COUNTY CONVALESCENT HOME
Practice Location:
409 PARK AVE ADAMSVILLE, TN 38310 US
Tel: 731-632-3301 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:
409 PARK AVE ADAMSVILLE, TN 38310 US
Tel: 731-632-3301 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | TN | 0000000167 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7440195 | TN | 05 | |
0445397 | TN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin