# SWEETWATER NURSING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sweetwater Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962486183
- **Authorized official:** JIMMY R LEWIS (PRESIDENT)
- **Authorized official phone:** (423) 975-5455

## Contact information

- **Practice address:** 978 HIGHWAY 11 SOUTH, SWEETWATER, TN 37874
- **Practice address phone:** (423) 337-6631
- **Practice address fax:** (423) 337-3801
- **Mailing address:** 978 HIGHWAY 11 SOUTH, SWEETWATER, TN 37874
- **Mailing address phone:** (423) 337-6631
- **Mailing address fax:** (423) 337-3801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0000000187 | TN | — |
| 314000000X | Skilled Nursing Facility | 0000000187 | TN | Yes |

## Other

- **Enumeration date:** 12/01/2005
- **Last updated:** 03/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445456 | — | TN |
| 05 | — | 7440192 | — | TN |