Healthcare Provider Details

I. General information

NPI: 1821853060
Provider Name (Legal Business Name): MONROE HEALTH AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 ISBILL RD
MADISONVILLE TN
37354-2112
US

IV. Provider business mailing address

465 ISBILL RD
MADISONVILLE TN
37354-2112
US

V. Phone/Fax

Practice location:
  • Phone: 423-442-3990
  • Fax: 423-442-4465
Mailing address:
  • Phone: 423-442-3990
  • Fax: 423-442-4465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MENACHEM RUVEL
Title or Position: MANAGING MEMBER
Credential:
Phone: 516-605-9800