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General NPI Number Information
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NPI Number | 1760371082
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Entity Type | Organization
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Legal Business Name | MEDINA HEALTH & REHABILITATION LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 401 PROMISE WAY LN
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City | MEDINA
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State | TN
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Zip | 38355-6967
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Country | US
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Telephone | 731-462-0020
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Fax |
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Provider Business Mailing Address
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Address Line | 3915 ADKISSON DR NW
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City | CLEVELAND
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State | TN
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Zip | 37312-2821
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Country | US
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Telephone | 423-641-5510
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN SHEEHAN JR.
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Credential |
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Telephone | 423-618-1488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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