Provider Demographics
NPI:1821517814
Name:FAMILY MINISTRIES JOHN M REED CENTER LLC
Entity Type:Organization
Organization Name:FAMILY MINISTRIES JOHN M REED CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-639-9449
Mailing Address - Street 1:90 STANLEY LN
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37743-6066
Mailing Address - Country:US
Mailing Address - Phone:423-639-9449
Mailing Address - Fax:423-639-5083
Practice Address - Street 1:124 JOHN M REED RD
Practice Address - Street 2:
Practice Address - City:LIMESTONE
Practice Address - State:TN
Practice Address - Zip Code:37681-2681
Practice Address - Country:US
Practice Address - Phone:423-607-3145
Practice Address - Fax:423-607-3177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-12
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN293314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility