Organization · Type 2 NPI
Black Wolf Healthcare LLC
Skilled Nursing Facility · Decaturville, TN
Practice location
524 W Main St
Decaturville, TN 38329-8101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | None listed |
| Skilled Nursing Facility Primary | 314000000X | None listed |
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…
7 other providers at this address
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- Carisa Jane Gulledge, COTA/LOccupational Therapy Assistant Decaturville, TN NPI 1710060777
- Owen Bartholomew, DPT, PTPhysical Therapist Decaturville, TN NPI 1770458044
- Ryan Wyatt CollettOccupational Therapist Decaturville, TN NPI 1033557988
- Susan A. White, PTAPhysical Therapy Assistant Decaturville, TN NPI 1588743215
- Suzanne Park Enochs, SLPSpeech-Language Pathologist Decaturville, TN NPI 1164501854
- Teri Jolanda Kapp, SLPSpeech-Language Pathologist Decaturville, TN NPI 1063289775
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About NPI 1447085782
Black Wolf Healthcare LLC's National Provider Identifier is 1447085782, issued on Sep 5, 2024. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Decaturville, TN. The record was last updated on Nov 14, 2025.