Countryside Tn Opco LLC
NPI #1013492743 in Lawrenceburg, Tennessee
Provider Information
- NPI Number
- 1013492743
- Entity Type
- Organization
- Organization Name
- Countryside Tn Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 28, 2018
- Last Updated
- Feb 8, 2023
Practice Location
- Address
- 3051 BUFFALO RD
- City
- Lawrenceburg
- State
- Tennessee
- ZIP Code
- 38464-6189
- Phone
- (931) 762-7518
Authorized Official
- Name
- DAVID HERSKOWITZ
- Title
- CEO
- Phone
- (212) 444-1991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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| Lawrenceburg Nh Operations, LLC | AI Deep Dive |
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| Countryside Tn Rehab LLC | AI Deep Dive |
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