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General NPI Number Information
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NPI Number | 1366433856
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Entity Type | Organization
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Legal Business Name | WEAKLEY COUNTY NURSING HOME
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 700 WC NURSING HOME RD
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City | DRESDEN
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State | TN
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Zip | 38225-1818
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Country | US
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Telephone | 731-364-3158
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Fax |
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Provider Business Mailing Address
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Address Line | 700 WC NURSING HOME RD
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City | DRESDEN
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State | TN
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Zip | 38225-1818
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DAVID MCBRIDE
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Credential |
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Telephone | 731-364-3158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 282
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License Number State | TN
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