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
- City
- Andersonville
- State
- Tennessee
- 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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| Andersonville Tn Opco, LLC | |
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