Organization
HANCOCK COUNTY HEALTH CARE LLC
Active
Other names
Providence of Sparta Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ARNETRIA PROSSER (ADMINISTRATOR)
(706) 444-5153
Entity
Organization
Contact information
Practice address
60 PROVIDENCE ST, SPARTA, GA 31087-1601
(706) 444-5153
(706) 444-8875
Mailing address
PO BOX 86, SPARTA, GA 31087-0086
(706) 444-5153
(706) 444-8875
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-070-1881
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00142623A
—
GA
Enumeration date
06/13/2006
Last updated
03/02/2016
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