Organization · Type 2 NPI
Bolivar Assisted Care Living, LLC
Assisted Living Facility · Bolivar, TN
NPI number
1982838660
Active
Practice location
631 Nuckolls Rd
Bolivar, TN 38008-1599
Fax (731) 658-9889
Mailing address
15 S Bells St, Suite #3
Alamo, TN 38001-1778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | ACL00000000182 (TN) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1982838660
Bolivar Assisted Care Living, LLC's National Provider Identifier is 1982838660, issued on May 8, 2009. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Bolivar, TN. The record was last updated on May 8, 2009.