Organization
LP SPRING CITY LLC
Active
Parent organization
LP CR HOLDINGS LLC
Other names
Spring City Care & Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LP CR HOLDINGS LLC
Authorized official
MR. JOHN HARRISON (AUDIT & REIMBURSEMENT ANALYST)
(502) 568-7800
Entity
Organization
Contact information
Practice address
331 HINCH ST, SPRING CITY, TN 37381-5217
(423) 365-4355
(423) 365-5093
Mailing address
331 HINCH ST, SPRING CITY, TN 37381-5217
(423) 365-4355
(423) 365-5093
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
210
TN
314000000X
Skilled Nursing Facility
210
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445209
—
TN
05
—
7440512
—
TN
Enumeration date
08/05/2007
Last updated
04/04/2023
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