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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.

physician-icon Basic Information

Practice Location 580 West Main Street, Alamo, TN 38001-0367, US
Practice Location Phone731-696-4541
Practice Location Fax731-696-4948
Legal Business NameCROCKETT COUNTY NURSING HOME, INC.
NPI ?1497807119
Entity TypeOrganization
Enumeration Date ? Jan 16, 2007
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Crockett County Nursing Home, Inc.

SpecialtySpecializationLicenseLicense State
Nursing Facility/Intermediate Care Facility 0000000029Tennessee

legacy-id-icon Legacy Provider IDs of Crockett County Nursing Home, Inc.

Provider IdIssuer StateIssuer TypeIssuer
445467TennesseeMedicare Id-type Unspecified
0445467TennesseeOtherMEDICAID LEVEL II
7440325TennesseeMedicaid

official-icon 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/PositionOWNER
Authorized Official Phone Number731-696-4670