Imperial Manor Convalescent Center LLC

NPI #1750360152 in Madison, Tennessee

Provider Information

NPI Number
1750360152
Entity Type
Organization
Organization Name
Imperial Manor Convalescent Center LLC
Subpart
Yes (part of a larger organization)
Parent Organization
VANGUARD HEALTHCARE, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 13, 2006
Last Updated
Nov 4, 2009

Practice Location

Address
306 W DUE WEST AVE
ZIP Code
37115-4511
Phone
(615) 865-5001

Authorized Official

Name
MR. KIRK F HEBERT
Title
SECRETARY
Phone
(615) 250-7100

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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