| NPI | 1013281161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WOODARD Executive Director 931-277-3518 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000028) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: TN ACL0000000068) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0000000028) | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2016-02-04 |