| NPI | 1962927616 |
|---|---|
| Doing Business As | CONCORDIA NURSING AND REHABILITATION - FAIRPARK |
| Entity Type | Organization |
| Authorized Contact | BENT PHILIPSON Managing Member 865-983-0261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2022-07-21 |