STEPHANIE RENEE NICKELL

CLARKSVILLE, TN
NPI1306550249
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: TN  0000000134)
Enumeration Date2023-01-05
Last Update Date2023-01-05
Business Address
STEPHANIE RENEE NICKELL
300 SANGO DR
CLARKSVILLE, TN 37043-6822
Phone number: 931-368-9622
Mailing Address
STEPHANIE RENEE NICKELL
71 ELLINGTON TER
CLARKSVILLE, TN 37040-5147
Phone number: 931-220-3116
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