Organization
NHC HEALTHCARE SPARTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R MICHAEL USSERY (SVP)
(615) 890-2020
Entity
Organization
Contact information
Practice address
34 GRACEY ST, SPARTA, TN 38583-2046
(931) 836-2211
Mailing address
34 GRACEY ST, SPARTA, TN 38583-2046
(931) 836-2211
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4041446
PPO
—
Enumeration date
02/12/2007
Last updated
08/22/2020
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