Bordeaux Long Term Care

NPI 1083609168 - Pharmacy - 3336L0003X

NPI Details
NPI 1083609168
Enumeration Date 09/15/2005
Last Updated 06/03/2013
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name JASON JASON
Position INTERIM CEO
Phone (615) 862-7005
Fax (615) 862-6960
Practice Location
1414 COUNTY HOSPITAL RD
NASHVILLE TN, 37218-3023, US
Phone (615) 862-7005
Fax (615) 862-6960
Business Location
1414 COUNTY HOSPITAL RD
NASHVILLE TN, 37218-3023, US
Phone (615) 862-7005
Fax (615) 862-6960
Toxanomy
Taxonomy Code 3336L0003X
License State Tennessee
License Number 4646322
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According to our database, Bordeaux Long Term Care NPI is 1083609168, taxonomy code is 3336L0003X and license number is 4646322, license state is located at Tennessee. Bordeaux Long Term Care physically located at 1414 County Hospital Rd, Nashville TN, 37218-3023. NPI Number 1033115704 has the healthcare provider type.

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1083609168 NPI number is provided on an as is basis without warranty of any kind. 1083609168 is maintained by the National Plan & Provider Enumeration System. The contents of Bordeaux Long Term Care are for informational purposes only.