Organization · Type 2 NPI

Executive Level Wellness

Skilled Nursing Facility · Jackson, TN

NPI number 1265829626 Active

Practice location

111 Stonebridge Blvd
Jackson, TN 38305-2040

Fax (888) 318-1702

Mailing address

1167 Jr Jones Rd
Humboldt, TN 38343-8080

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XAPN013215 (TN)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1265829626

Executive Level Wellness's National Provider Identifier is 1265829626, issued on Apr 22, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Jackson, TN. The record was last updated on Apr 22, 2015.