| NPI | 1023455888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONTE LEUCIUC Owner 865-765-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TN 0000000265) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TN 0000000265) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |