Northbrooke Health Care And Rehab Clinic

NPI 1023315769 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1023315769
Enumeration Date 02/15/2011
Last Updated 02/15/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GINGER GORDON GINGER
Position PTA
Phone (731) 664-5050
Fax
Practice Location
121 PHYSICIANS DR
JACKSON TN, 38305-6011, US
Phone (731) 664-5050
Fax
Business Location
66 KING DAVID DR
JACKSON TN, 38305-7381, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State Tennessee
License Number 4834
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According to our database, Northbrooke Health Care And Rehab Clinic NPI is 1023315769, taxonomy code is 314000000X and license number is 4834, license state is located at Tennessee. Northbrooke Health Care And Rehab Clinic physically located at 121 Physicians Dr, Jackson TN, 38305-6011. NPI Number 1033115704 has the healthcare provider type.

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1023315769 NPI number is provided on an as is basis without warranty of any kind. 1023315769 is maintained by the National Plan & Provider Enumeration System. The contents of Northbrooke Health Care And Rehab Clinic are for informational purposes only.