Provider Demographics
NPI:1710283817
Name:SPECTRUM OF CARE, CORPORATION
Entity Type:Organization
Organization Name:SPECTRUM OF CARE, CORPORATION
Other - Org Name:SPECTRUM OF CARE, ADULT DAYCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:DON
Authorized Official - Last Name:KLUSENER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-594-5419
Mailing Address - Street 1:241 MCLEAN CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7266
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:230 GLENIS DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-5152
Practice Address - Country:US
Practice Address - Phone:615-594-5419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care