Organization
SPARTA MEDICAL INVESTORS LP
Active
Other names
Life Care Center of Sparta
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
508 MOSE DR, SPARTA, TN 38583-1211
(931) 738-9430
(931) 738-9455
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
ACL0000000208
TN
314000000X
Skilled Nursing Facility
Primary
381
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4041457
BCBS
—
05
—
7440596
—
TN
Enumeration date
07/06/2006
Last updated
12/21/2021
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