Ebenezer Home of Tennessee, Inc.
NPI #1528120458 in Antioch, Tennessee
Provider Information
- NPI Number
- 1528120458
- Entity Type
- Organization
- Organization Name
- Ebenezer Home of Tennessee, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Jan 8, 2019
Practice Location
Authorized Official
- Name
- MRS. CELIA DAVID VALDOMAR, NHA ADMINISTRATOR
- Title
- PRESIDENT
- Phone
- (310) 995-2603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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