Jellico Tn Opco LLC
NPI #1770049504 in Jellico, Tennessee
Provider Information
- NPI Number
- 1770049504
- Entity Type
- Organization
- Organization Name
- Jellico Tn Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 18, 2019
- Last Updated
- Feb 7, 2023
Practice Location
Authorized Official
- Name
- DAVID HERSKOWITZ
- Title
- CEO
- Phone
- (212) 444-1991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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