| NPI | 1083669832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD JAY NASON Manager Of LLC 865-690-9900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2639) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2016-06-03 |