Southern Manor Living Centers of Winchester, LLC
NPI #1326384827 in Winchester, Tennessee
Provider Information
- NPI Number
- 1326384827
- Entity Type
- Organization
- Organization Name
- Southern Manor Living Centers of Winchester, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 2, 2013
- Last Updated
- Jan 2, 2013
Practice Location
- Address
- 3619 COWAN HWY
- City
- Winchester
- State
- Tennessee
- ZIP Code
- 37398-4709
- Phone
- (931) 967-9765
Authorized Official
- Name
- MRS. KIMBERLY DAWN GULLEY, LPN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (931) 967-9765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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