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Organization

LP PIGEON FORGE LLC

Active
Parent organization
LP CR HOLDINGS LLC
Other names
Pigeon Forge Care & Rehabilitation Center
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
415 COLE DR, PIGEON FORGE, TN 37863-3775
(865) 428-5454
(865) 429-5616
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7800
(502) 568-7150

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
228
TN
314000000X
Skilled Nursing Facility
228
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0445382
TN
05
7440466
TN
Enumeration date
08/01/2007
Last updated
10/01/2010
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