| NPI | 1043947518 |
|---|---|
| Doing Business As | SOUTHERN HERITAGE ASSISTED LIVING II |
| Entity Type | Organization |
| Authorized Contact | KENNETH JAMES STONEBROOK Regional Director 423-290-8537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-04 |