LP South Pittsburg LLC
NPI #1942490255 in South Pittsburg, Tennessee
Provider Information
- NPI Number
- 1942490255
- Entity Type
- Organization
- Organization Name
- LP South Pittsburg LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LP CR HOLDINGS LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Aug 1, 2007
- Last Updated
- Apr 4, 2023
Practice Location
- Address
- 201 E 10TH ST
- City
- South Pittsburg
- State
- Tennessee
- ZIP Code
- 37380-1497
- Phone
- (423) 837-7981
Authorized Official
- Name
- MR. JOHN HARRISON
- Title
- CFO
- Phone
- (502) 568-7800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
| Nursing Facility/Intermediate Care Facility |
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