Basic Information
| Provider Information | |||||||||
| NPI: | 1184287179 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MURFREESBORO NURSING AND REHABILITATION CENTER LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1530 MIDDLE TENNESSEE BLVD | ||||||||
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| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371305106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158964505 | ||||||||
| FaxNumber: | 6158958544 | ||||||||
| Practice Location | |||||||||
| Address1: | 1530 MIDDLE TENNESSEE BLVD | ||||||||
| Address2: | |||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371305106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158964505 | ||||||||
| FaxNumber: | 6158958544 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2019 | ||||||||
| LastUpdateDate: | 04/16/2019 | ||||||||
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| AuthorizedOfficialLastName: | GLATZER | ||||||||
| AuthorizedOfficialFirstName: | AKIVA | ||||||||
| AuthorizedOfficialMiddleName: | T | ||||||||
| AuthorizedOfficialTitleorPosition: | MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 7188793030 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.