Organization
SUNBRIDGE RETIREMENT CARE ASSOCIATES
Active
Other names
Ardmore Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HAGAR (CEO DIRECTOR)
(610) 444-6350
Entity
Organization
Contact information
Practice address
25385 MAIN ST, ARDMORE, TN 38449-3155
(931) 427-2143
(931) 427-7268
Mailing address
25385 MAIN ST, ARDMORE, TN 38449-3155
(931) 427-2190
(931) 427-2177
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000091
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003004969
BLUE CROSS/BLUE SHIELD OF
TN
05
—
0445321
—
TN
01
—
13729
1ST COMMUNITY
—
05
—
7440277
—
TN
Enumeration date
05/28/2006
Last updated
01/21/2014
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