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NPI Code Detail

MEDICARE: BEAR CREEK HEALTHCARE LLC

MEDICARE: BEAR CREEK HEALTHCARE 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1912732249
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAR CREEK HEALTHCARE LLC
Provider Business Mailing Address
First Line : 726 KENTUCKY AVE S
Second Line :
City : PARSONS
State : TN
Zip : 38363-3105
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 726 KENTUCKY AVE S
Second Line :
City : PARSONS
State : TN
Zip : 38363-3105
Country : US
Telephone Number : 731-847-6371
Fax Number :
Authorized Official
Title or Position : TREASURER
Name : SOON BURNAM
Credential :
Telephone Number : 949-540-1249
Provider Enumeration Date : 09/05/2024
Last Update Date : 09/05/2024

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Directions to “BEAR CREEK HEALTHCARE LLC ” Practice Location

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