VANGUARD OF CHURCH HILL, LLC
Skilled Nursing Facility
Church Hill, Tennessee
Provider NPI: 1376548743
Organization Information:Organization Name: VANGUARD OF CHURCH HILL, LLC
Practice Location:
701 W MAIN BLVD CHURCH HILL, TN 37642 US
Tel: 423-357-7178 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:
701 W MAIN BLVD CHURCH HILL, TN 37642 US
Tel: 423-357-7178 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | TN | 0000000125 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7440497 | TN | 05 | |
0445237 | TN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin