NPI 1265829626

Executive Level Wellness

Organisation Skilled Nursing Facility Jackson, TN

Practice location

Address: 111 Stonebridge Blvd, Jackson, TN 38305-2040
Phone: (731) 420-3334
Fax: (888) 318-1702
Mailing address: 1167 Jr Jones Rd, Humboldt, TN 38343-8080

Authorised official

Name: David Brian Hughes
Title: Owner
Phone: (731) 571-8808

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence APN013215 (TN)

Other Skilled Nursing Facility providers in Tennessee →

Registry record

NPI: 1265829626
Entity type: Organization
NPI issued: 22 Apr 2015
Record last updated: 22 Apr 2015

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.