NPI | 1043270986 |
---|---|
Former Legal Business Name | RESTHAVEN MANOR INC |
Entity Type | Organization |
Authorized Contact | ROBIN F BRADLEY Secretary 615-595-8383 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000375) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0375) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2021-05-03 |