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Organization

LP ROGERSVILLE LLC

Active
Parent organization
LP CR HOLDINGS LLC
Other names
Signature HealthCARE of Rogersville
Organization subpart
Yes

Provider details

NPI number
Legal business name
LP CR HOLDINGS LLC
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization

Contact information

Practice address
109 HIGHWAY 70 N, ROGERSVILLE, TN 37857-4001
(423) 272-3099
(423) 272-6591
Mailing address
12201 BLUEGRASS PARKWAY, LOUISVILLE, KY 40299-2361
(502) 568-7800
(502) 568-7150

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
124
TN
314000000X
Skilled Nursing Facility
124
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0445359
TN
05
7440320
TN
Enumeration date
08/05/2007
Last updated
04/04/2023
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