Bolivar Operator LLC
NPI #1316018286 in Bolivar, Tennessee
Provider Information
- NPI Number
- 1316018286
- Entity Type
- Organization
- Organization Name
- Bolivar Operator LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Apr 13, 2020
Practice Location
Authorized Official
- Name
- MR. STACEY PAUL ROGERS
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (502) 429-8062
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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