Andersonville Tn Holdco LLC

NPI #1184367781 in Andersonville, Tennessee

Provider Information

NPI Number
1184367781
Entity Type
Organization
Organization Name
Andersonville Tn Holdco LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Apr 20, 2022
Last Updated
Feb 8, 2023

Practice Location

Address
3382 ANDERSONVILLE HWY
ZIP Code
37705-3816
Phone
(770) 870-7818

Authorized Official

Name
DAVID HERSKOWITZ
Title
CHIEF FINANCIAL OFFICER
Phone
(212) 444-1991

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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