Waters Of McKenzie A Rehabilitation & Nursing Center LLC
Skilled Nursing Facility in Mc Kenzie, TN. Organization (NPI-2).
NPI number1659948529
StatusActive
Last updated in NPPESMay 18, 2022
Details
- NPI
- 1659948529
- Entity type
- Organization (NPI-2)
- Legal business name
- Waters Of McKenzie A Rehabilitation & Nursing Center LLC
- Organization subpart
- No
- Enumeration date
- Jun 8, 2021
- Certification date
- May 18, 2022
- Last updated
- May 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
14510 Highway 79Mc Kenzie, TN 38201-7824
Phone 731-352-5317
Mailing address
240 Fencl LnHillside, IL 60162-2067
Phone 708-449-1900
Authorized official
Michael Blisko
Owner
7084491900
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All 6 Skilled Nursing Facility providers in Mc Kenzie · All 162 providers in Mc Kenzie
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