Organization
LIFE CARE CENTERS OF AMERICA, INC.
Active
Other names
Life Care Center of Athens
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
1234 FRYE ST, ATHENS, TN 37303-3052
(423) 745-8181
(423) 745-9257
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
164
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744-0491
—
TN
Enumeration date
06/11/2006
Last updated
09/15/2021
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