| NPI | 1063730778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L STULTS Administrator 931-722-5832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 277) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2014-05-19 |