NPI 1043046733

Hanalei River Holdings LLC

Organisation Skilled Nursing Facility Jackson, TN

Practice location

Address: 121 Physicians Dr, Jackson, TN 38305-6011
Phone: (731) 664-5050
Fax: (731) 668-4890

Authorised official

Name: Curtis S Rodriguez
Title: Manager
Phone: (858) 798-5700

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1043046733
Entity type: Organization
NPI issued: 10 Sep 2024
Record last updated: 10 Sep 2024

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.