| NPI | 1073523692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A WILSON Administrator 931-484-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000285) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |