Organization
SPARTA HEALTH CARE LLC
Active
Other names
Sparta Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWANNA COBB (ADMINISTRATOR)
(706) 444-6057
Entity
Organization
Contact information
Practice address
11744 GA HIGHWAY 22, SPARTA, GA 31087-1475
(706) 444-6057
(706) 444-6030
Mailing address
PO BOX 237, SPARTA, GA 31087-0237
(706) 444-6057
(706) 444-6030
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-070-1709
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00143063A
—
GA
01
—
52243033 001
BCBS
—
Enumeration date
06/12/2006
Last updated
02/12/2026
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