Fayetteville Healthcare, LLC

NPI #1659707743 in Fayetteville, Tennessee

Provider Information

NPI Number
1659707743
Entity Type
Organization
Organization Name
Fayetteville Healthcare, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 19, 2013
Last Updated
Mar 28, 2019

Practice Location

Address
4081 THORNTON TAYLOR PKWY
ZIP Code
37334-2674
Phone
(931) 433-9773

Authorized Official

Name
THOMAS D JOHNSON
Title
CHIEF MANAGER
Phone
(423) 478-5953

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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