NPI 1225608912
Selectis Sparta LLC
Practice location
- Address
- 60 Providence St, Sparta, GA 31087-1601
- Phone
- (706) 444-5153
- Fax
- (706) 444-8875
Authorised official
- Name
- Christopher R Barker
- Title
- Manager
- Phone
- (303) 449-2100
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1225608912
- Entity type
- Organization
- NPI issued
- 25 Jun 2021
- Record last updated
- 25 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.