| NPI | 1003982661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BURNS Owner 901-725-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN APN0000005936) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |