Christian Care Center of Bolivar LLC
NPI #1972181998 in Bolivar, Tennessee
Provider Information
- NPI Number
- 1972181998
- Entity Type
- Organization
- Organization Name
- Christian Care Center of Bolivar LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 31, 2021
- Last Updated
- Jan 31, 2022
Practice Location
Authorized Official
- Name
- MS. LISA M CAWOOD GRAY
- Title
- DELEGATED OFFICIAL, REGISTRATIONS O
- Phone
- (423) 557-6116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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