Organization
LP GREENEVILLE LLC
Active
Parent organization
LP CR HOLDINGS LLC
Other names
Signature HealthCARE of Greeneville
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
106 HOLT CT, GREENEVILLE, TN 37743-6917
(423) 639-0213
(423) 638-4511
Mailing address
106 HOLT CT, GREENEVILLE, TN 37743-6917
(423) 639-0213
(423) 638-4511
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
95
TN
314000000X
Skilled Nursing Facility
95
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445351
—
TN
05
—
7440318
—
TN
Enumeration date
08/05/2007
Last updated
04/04/2023
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