Healthcare Provider Details

I. General information

NPI: 1366571465
Provider Name (Legal Business Name): SOUTHERN HOSPITALITY HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 SE PARKWAY CT SUITE 122
FRANKLIN TN
37064-3968
US

IV. Provider business mailing address

111 SE PARKWAY CT SUITE 122
FRANKLIN TN
37064-3968
US

V. Phone/Fax

Practice location:
  • Phone: 615-599-8799
  • Fax: 615-791-0907
Mailing address:
  • Phone: 615-599-8799
  • Fax: 615-791-0907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PATRICIA LEE RINGROSE
Title or Position: ADMINISTRATOR
Credential:
Phone: 615-599-8799