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Contact Information

PALMYRA TN OPCO LLC
2727 PALMYRA RD
PALMYRA, TN37142
 Phone: 931-326-5252
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for PALMYRA TN OPCO LLC

NPI # 1356835607
LBN Legal business name PALMYRA TN OPCO LLC
Authorized official DAVID HERSKOWITZ - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2018
Last updated 02/07/2023 - About 3 years ago
Identifiers
TN Medicaid PENDING
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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