Healthcare Provider Details

I. General information

NPI: 1760448435
Provider Name (Legal Business Name): SAVANNAH HEALTH CARE AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 05/03/2021
Certification Date: 05/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 FLORENCE RD
SAVANNAH TN
38372
US

IV. Provider business mailing address

P.O, BOX 10
PARSONS TN
38363-0010
US

V. Phone/Fax

Practice location:
  • Phone: 731-926-4200
  • Fax:
Mailing address:
  • Phone: 731-847-6343
  • Fax: 731-847-4200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number0358
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0000000358
License Number StateTN

VIII. Authorized Official

Name: MS. ROBIN F BRADLEY
Title or Position: SECRETARY
Credential:
Phone: 615-595-8383