Organization
CRM OF SPARTA LLC
Active
Other names
Providence of Sparta Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E WINGET SR. (MEMBER)
(478) 994-3669
Entity
Organization
Contact information
Practice address
60 PROVIDENCE ST, SPARTA, GA 31087-1601
(706) 444-5153
Mailing address
60 PROVIDENCE ST, SPARTA, GA 31087-1601
(706) 444-5153
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
GA
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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