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
- City
- Fayetteville
- State
- Tennessee
- 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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