Basic Information
| Provider Information | |||||||||
| NPI: | 1639300320 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AYERS LESSEE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 611 COMMERCE ST | ||||||||
| Address2: | SUITE 3125 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372033742 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152550009 | ||||||||
| FaxNumber: | 6152421822 | ||||||||
| Practice Location | |||||||||
| Address1: | 606 NE 7TH ST | ||||||||
| Address2: | |||||||||
| City: | TRENTON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326933636 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3524637101 | ||||||||
| FaxNumber: | 3524637710 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2009 | ||||||||
| LastUpdateDate: | 07/29/2009 | ||||||||
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| AuthorizedOfficialLastName: | EARLE | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | P. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6152550009 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNameSuffix: | III | ||||||||
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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.