Organization · Type 2 NPI

LP South Pittsburg LLC

Nursing Facility/Intermediate Care Facility · South Pittsburg, TN

NPI number 1942490255 Active

Practice location

201 E 10th St
South Pittsburg, TN 37380-1497

Call (423) 837-7981 Map

Fax (423) 837-1814

Mailing address

12201 Bluegrass Parkway
Louisville, KY 40299-2361

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X176 (TN)
Skilled Nursing Facility 314000000X176 (TN)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

6 other providers at this address

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About NPI 1942490255

LP South Pittsburg LLC's National Provider Identifier is 1942490255, issued on Aug 1, 2007. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in South Pittsburg, TN. The record was last updated on Apr 4, 2023.