Organization · Type 2 NPI

Tri State Manor, LLC

Skilled Nursing Facility · Harrogate, TN

NPI number 1407843030 Active

Practice location

600 Shawanee Rd
Harrogate, TN 37752-8305

Fax (423) 869-4107

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X0000000038 (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 1407843030

Tri State Manor, LLC's National Provider Identifier is 1407843030, issued on Sep 29, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Harrogate, TN. The record was last updated on Apr 27, 2015.