| NPI | 1083609168 |
|---|---|
| Doing Business As | BORDEAUX LONG-TERM CARE |
| Entity Type | Organization |
| Authorized Contact | JASON BOYD Interim CEO 615-341-4491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 63) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TN 0175630001) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0175630001) | |
| 314000000X Skilled Nursing Facility (Licence: TN 0000000063) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0000000063) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TN 4646322) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2013-06-03 |