Provider First Line Business Practice Location Address:
815 WALNUT AVE
Provider Second Line Business Practice Location Address:
NHC HEALTHCARE CENTER
Provider Business Practice Location Address City Name:
COOKEVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-528-5516
Provider Business Practice Location Address Fax Number:
931-528-8151
Provider Enumeration Date:
02/27/2008