| NPI | 1407090855 |
|---|---|
| Doing Business As | GERIATRIC HEALTH AND WOUND CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | CAROLYN HARE Family Nurse Practitioner 270-585-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN APN13720) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN13720) |
| 310400000X Assisted Living Facility (Licence: TN APN13720) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN APN13720) | |
| 315D00000X Hospice, Inpatient (Licence: TN APN13720) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-07-10 |