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1063279594
PROGRESSIVE HEALTH OF JELLICO LLC
JELLICO, TN
NPI
1063279594
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Entity Type
Organization
Authorized Contact
MICHELE SEXTON
CEO
712-210-6744
Organization Subpart ?
No
Primary Taxonomy
275N00000X Medicare Defined Swing Bed Unit
Enumeration Date
2024-03-01
Last Update Date
2024-03-01
Business Address
PROGRESSIVE HEALTH OF JELLICO LLC
188 HOSPITAL LN
JELLICO, TN 37762-4400
Phone number: 423-455-0245
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Mailing Address
PROGRESSIVE HEALTH OF JELLICO LLC
188 HOSPITAL LN
JELLICO, TN 37762-4400
Phone number: 423-455-0245
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