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1447085782
BLACK WOLF HEALTHCARE LLC
DECATURVILLE, TN
NPI
1447085782
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Entity Type
Organization
Authorized Contact
SOON BURNAM
Treasurer
949-540-1249
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2024-09-05
Last Update Date
2024-09-05
Business Address
BLACK WOLF HEALTHCARE LLC
524 W MAIN ST
DECATURVILLE, TN 38329-8101
Phone number: 731-852-3591
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Mailing Address
BLACK WOLF HEALTHCARE LLC
524 W MAIN ST
DECATURVILLE, TN 38329-8101
Phone number:
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