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Organization
SUNBRIDGE RETIREMENT CARE ASSOCIATES
Active
Organization
SUNBRIDGE RETIREMENT CARE ASSOCIATES
Active
Other names
Ardmore Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HAGAR (CEO DIRECTOR)
(610) 444-6350
Entity
Organization
Contact information
Practice address
25385 MAIN ST, ARDMORE, TN 38449-3155
(931) 427-2143
(931) 427-7268
Mailing address
25385 MAIN ST, ARDMORE, TN 38449-3155
(931) 427-2190
(931) 427-2177
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000091
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003004969
BLUE CROSS/BLUE SHIELD OF
TN
05
—
0445321
—
TN
01
—
13729
1ST COMMUNITY
—
05
—
7440277
—
TN
Enumeration date
05/28/2006
Last updated
01/21/2014
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