| NPI | 1831549286 |
|---|---|
| Doing Business As | PROVIDENCE OF SPARTA HEALTH AND REHAB |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E WINGET Member 478-994-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |