Macon Care Center LLC

Organization Active NPI Skilled Nursing Facility · Red Boiling Springs, TN

NPI 1376106351 · NPPES record last updated Apr 16, 2019

Key facts

NPI
1376106351
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
MACON CARE CENTER LLC
Practice address
309 Main St
Red Boiling Springs, TN 37150-2149
Phone
(615) 699-2238
Fax
(615) 699-3530
NPI assigned
Apr 16, 2019
Organization subpart
No

Authorized official

Name
Akvia T Glatzer
Title
Member
Phone
(718) 879-3030

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

309 Main St
Red Boiling Springs, TN 37150-2149

Mailing address

309 Main St
Red Boiling Springs, TN 37150-2149
Phone (615) 699-2238

Other providers in Red Boiling Springs, TN

All providers in Red Boiling Springs, TN · Skilled Nursing Facility in Tennessee

Sources for this page

Verify at the official NPI Registry.