NPI 1023829280

Willows of Jackson , LLC

Organisation Assisted Living Facility Jackson, TN

Practice location

Address: 447 Cheyenne Dr, Jackson, TN 38305-3571
Phone: (731) 300-4688
Fax: (731) 300-4698
Mailing address: 19870 Main St E, Huntingdon, TN 38344-3927

Authorised official

Name: Larry Lee Nicholson
Title: Owner
Phone: (731) 415-9368

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Tennessee →

Registry record

NPI: 1023829280
Entity type: Organization
NPI issued: 16 Jan 2025
Record last updated: 16 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.