Crockett County Nursing Home, Inc.
Crockett County Nursing Home, Inc. is a health care provider in Alamo, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 580 West Main Street, Alamo, TN 38001-0367, US |
|Practice Location Phone||731-696-4541|
|Practice Location Fax||731-696-4948|
|Legal Business Name||CROCKETT COUNTY NURSING HOME, INC.|
|Enumeration Date ? ||Jan 16, 2007|
|Last Update Date ? ||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Crockett County Nursing Home, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Nursing Facility/Intermediate Care Facility||Nursing & Custodial Care Facilities|| ||0000000029||Tennessee|
Legacy Provider IDs of Crockett County Nursing Home, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
|0445467||Tennessee||Other||MEDICAID LEVEL II|
Authorized Official of Crockett County Nursing Home, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Crockett County Nursing Home, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Craig B Laman|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||731-696-4670|