Tennessee State Veterans Home Board

NPI 1093708943 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1093708943
Enumeration Date 08/25/2005
Last Updated 04/07/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARY MARY
Position CHAIRMAN
Phone (731) 784-8405
Fax (731) 784-2448
Practice Location
2865 E MAIN ST
HUMBOLDT TN, 38343-3070, US
Phone (731) 784-8405
Fax (731) 784-2448
Business Location
P.O. BOX 11328
MURFREESBORO TN, 37129, US
Phone (615) 225-1816
Fax (615) 898-1181
Toxanomy
Taxonomy Code 313M00000X
License State Tennessee
License Number 0000000346
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According to our database, Tennessee State Veterans Home Board NPI is 1093708943, taxonomy code is 313M00000X and license number is 0000000346, license state is located at Tennessee. Tennessee State Veterans Home Board physically located at 2865 E Main St, Humboldt TN, 38343-3070. NPI Number 1033115704 has the healthcare provider type.

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1093708943 NPI number is provided on an as is basis without warranty of any kind. 1093708943 is maintained by the National Plan & Provider Enumeration System. The contents of Tennessee State Veterans Home Board are for informational purposes only.