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Contact Information

CHRISTIAN CARE CENTER OF MCKENZIE LLC
150 OAK MANOR RD
MCKENZIE, TN38201
 Phone: 731-352-5317
 Fax: 731-352-5942
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for CHRISTIAN CARE CENTER OF MCKENZIE LLC

NPI # 1194244772
LBN Legal business name CHRISTIAN CARE CENTER OF MCKENZIE LLC
Authorized official LISA CAWOOD GRAY - (MANAGER, RISK MANAGEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2017
Last updated 06/22/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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