MEDICARE: LP NORTH NASHVILLE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1518382852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LP NORTH NASHVILLE, LLC

Provider Business Mailing Address
First Line	:	1414 COUNTY HOSPITAL RD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37218-3023
Country	:	US
Telephone Number	:	615-862-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 COUNTY HOSPITAL RD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37218-3023
Country	:	US
Telephone Number	:	615-862-7000
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	JOHN HARRISON
Credential	:
Telephone Number	:	502-568-7800

Provider Enumeration Date	:	02/24/2014
Last Update Date	:	02/24/2014

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